VERMONT NURSES IN PARTNERSHIP
TABLE OF CONTENTS
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ELECTRONIC RESOURCE MANUAL
KEY:
- this symbol indicates that the item being described is a folder
Individual documents are titled in bold under the folder that contains them (with a description of their purpose, use,
and/or contents)
Highlighted titles identify the core documents required for the Vermont Internship.
DOCUMENTS:
Bibliography
Contributors
INTRO-DIRECTIONS-COPYRIGHT
Model Outline-Internship
Project Summary-VNIP
Resources for teaching
TABLE OF CONTENTS
VNIP LICENSE AGREEMENT
FOLDERS AND CONTENTS:
EVALUATION DOCS: A folder that contains forms for evaluation of the programs and participants.
Includes satisfaction survey for assessment of agency pre and post internship model adoption. Also document of
results from original VNIP pilot. These tools are intended for use with the VNIP grant project, but may be
considered for your use if indicated.
1 Evaluation Tools – listing and explanation of evaluation tools used by the VNIP
Annual Summative Evaluation – form used to summit a summary of the program evaluation results and
any planned/recommended changes.
Consent-demographics: form used for project enrollment and tracking. To be completed at start of
internship and sent/faxed to data collection office. Used for demographic data collection, tracking and
follow-up for Interns and evaluations.
Intern Evaluates Preceptor: basic preceptor evaluation form. Based on Benner’s Novice to Expert model.
Intern Evaluates Program: contents as per title
Internship tracking chart: Form that assists with tracking intern retention and reasons for leaving
Preceptor demographic form: form used for tracking demographic information for preceptors. This was
developed with a plan towards collecting a pool of potential faculty recruits. Database of information is
kept in the Office for Nursing Workforce
Preceptor Evaluation – COPA2– based on COPA model
Preceptor evaluates program: content as per title
Preceptor Expertise Evaluation: Evaluation form that can be used as a self or peer evaluation tool
Survey – Effective Process – original survey tool established for assessing & comparing pre-internship
process for transition to practice to post-internship outcomes.
Survey – Outcomes 2001 - outcomes results from initial Internship pilots)
Survey – Retention
Weekly Evals - form that could be used for tracking development of capability
Weekly Orientation evaluation – form developed and used by one site - to track for problems within
orientation process
Workplace Impact Survey – form that could be used to evaluate program impact
INTERNSHIP–ORIENTATION: contains documents and files that support delivery of internship program
and/or a standardized orientation process. Includes competency validation resources.
CLINICAL COACHING – Various forms for learning contracts and/or weekly educational planning.
This forms is used for tracking weekly planning, evaluation, critical thinking development and discussion.
Specialty Service plans – Charge nurse role
Clinical Coaching - LTC – Long term care
Clinical Coaching - OB plan – obstetrics
Clinical Coaching - OR plan – Operating Room
Clinical Coaching - PACU plan – Post Anesthesia Care Unit
Goal - Cardiac - a goal based on diagnostic group
Goal - Respiratory- a goal based on diagnostic group
On call Role
Socialization – the primary and first goal for each orientee
Weekly Orientation plan - NICU (work in progress)
Supporting Documents – Miscellaneous documents that support the process
Clinical Coaching Form: a template for starting additional unit specific plans
Clinical Coaching plan-Work Org.: a standardized weekly goal plan with pre-set activities
and measurable outcomes for tracking skills/competency development for interns and other
RN hires. This plan focuses on development of work organization skills. The specific goals
should be used as appropriate for specific learning needs of the individual, rather than followed
as a pre-set requirement. The activities and measurable outcomes in this plan are based on
specific learning/competency goals, follow a simple to complex development pattern, and can
be used by preceptors to plan clinical experiences and outcomes assessment
Clinical Competence – MCH –checklist based on the clinical coaching plan
Clinical Competence –OR–checklist based on the clinical coaching plan
Clinical Competence- PACU –checklist based on the clinical coaching plan
Competency - Cardiothoracic: First draft of orientation plan for cardio-thoracic
Learning Contract 1: form that might be used for contracting learning. Contributed by
Tricia Russell, New Zealand.
Learning Contract 2: form that might be used for contracting learning. Contributed by Tricia
Russell, New Zealand.
Measurable Outcomes
Orientation vs. validation
Teaching-Learning Activities
Weekly Orientation-NICU
Weekly Conference Form: blank form used for planning and tracking weekly goals and
activities. Includes instructions for goal/activity planning.
Weekly Orientation Evaluation
COMPETENCY ASSESSMENT - tools and resources (Unit Spec - the unit specific checklists address
the specialty care skills required for each area, without repeating the measurable criteria that is generic to all
direct care settings. They are used in conjunction with the generalist RN &/or LPN form.)
Checklist Directions: a single page of the directions for form use (with scoring key).
Checklist – LPN orientation: competency checklist that is based on the COPA model and identifies
measurable, specific criteria of the ‘generalist’ LPN. (Unit specific checklists are added to this core form to
address all skills/subskills required for the position)
Checklist - RN Intern-Orientee: competency checklist that is based on the COPA model and identifies
measurable, specific criteria of the ‘generalist’ RN. (Unit specific checklists are added to this core form to
address all skills/subskills required for the position)
Checklist-RN NIC: a first draft version of the competency checklist that uses Nursing Interventions
Classification for a reference in performance expectations.
Checklist-LNA: a first draft of modifying the checklist to provide a form for the LNA position that also
follows the COPA model and competency assessment expectations.
Checklist-LNA-LTC: the LNA form modified to fit the long term care specialty
Psych Internship – outline : first draft of content outline for psych internship teaching plan
RN Checklist FAHC: form/format is modified to be an Excel document and the outcomes are written for a
tertiary care center.
Unit Spec Ambulatory
Unit Spec BC – Birthing center
Unit Spec CC - Critical Care
Unit Spec ED - Emergency Department
Unit Spec LTC - Long Term Care
Unit Spec MS04 LPN - Medical Surgical and specific to LPN role
Unit Spec MS06 - Medical Surgical updated in 2006
Unit Spec OB - Obstetrics
Unit Spec OR - Operating Room
Unit Spec PACU- Post Anesthesia Care Unit
UnitSpecPeds: Age specific competency checklist (pediatric focus) Includes age specific charts,
considerations and info.
Unit Spec Psych 04 - Psychiatric nursing specialty
Unit Spec Telemetry1.2005 - telemetry nursing specialty
DIDACTIC INSTRUCTION - Each folder includes a teaching plan, resource material recommendations,
and/or a PP presentation specific to that topic area.
Cultural Competency
Cultural Competency Teaching Plan: Word document – teaching plan
Cultural issues and Medicine: PowerPoint slide show as titled.
IV Access/management - IV Course Outline: Word document – teaching plan
1. IV Therapy Standards: PowerPoint slide show as titled.
2. Infection Control and Safety: PowerPoint slide show as titled.
3. General Principles of Infusion: PowerPoint slide show as titled.
4. Venipucture Technique: PowerPoint slide show as titled.
5. Site and Catheter Care: PowerPoint slide show as titled.
6. Legal implications: PowerPoint slide show as titled.
7. Complications: PowerPoint slide show as titled.
8. Peripherally Inserted Central Catheter: PowerPoint slide show as titled.
9. Complications Associated with Midlines and PICCs
Managed Care - Managed Care Teaching Plan: Word document – teaching plan with web
sites and other resource references.
Pain Management
Comfort Challenge: Case scenario for pain management
Pain Assessment and Management: PowerPoint slide show as titled.
Teaching Plan Pain Management: Word document – teaching plan
Performance Improvement
CQI Process : PowerPoint slide show as titled.
Teaching PlanCQI process: Word document – teaching plan
VNIP Teaching Plan for Performance Improvement: teaching plan
Standards of Practice
Professional Guidelines internship: PowerPoint slide show as titled.
Teaching plan for legal: focuses on legal issues and liability
Teaching Plan Standards of Practice: Word document – teaching plan
PRECEPTOR DEVELOPMENT
CONTENT AREAS - WORKSHOP: contains a folder of resource materials for each topic area addressed
within the workshops. Each folder includes at least one PP presentation along with group or individual activities
and/or other resource materials
Benner’s Novice to Expert Theory
PowerPoint slide shows: Novice to Expert:
Documents: Resource material, assessment tools, and/or group activities
Benner – cybersurfing results
Notes – lecture notes in a chart format
Preceptor Expertise Eval: Evaluation or Self Assessment tool for preceptors
Proficiency levels: descriptions from article by Kidd & Sturt, Developing and evaluating an
emergency nursing orientation pathway JEM Vol. 21 (6) pp521 - 539
Communication skills
PowerPoint slide show: Communication 2006 & 2007 versions
Documents include: Resource material, assessment tools, and/or group activities;
Communication skills research; Sample messages; The people who are starting college
Communication – Barriers or Bridges
PowerPoint slide show: Communication-Barrier issues; Conflict Management; Generational
issues04; Personality Styles SB
Documents - Communication Barriers - notes in chart format; Conflict Questionnaire; Core
competencies – COPA; Generational cohorts & Generational influence list; Generations summary,
generations graph, Generations graph fill-in; Overheads;
Personality styles chart; Personalityobj; Scenarios=personality styles
Competency assessment
PowerPoint slide show: Competency 2006
Documents: Resource material, assessment tools, and/or group activities; Competence; Core
competencies-COPA and List of COPA critieria; Notes – Competency 2006; Overheads; Role of the
Validator – sample of form documenting commitment to/process for validation; Suggestions from new
nurses
Critical Thinking skills
PowerPoint slide show: Critical Thinking04 & Critical thinking 2006
Documents: Resource material, assessment tools, and/or group activities; Critical Thinking skills
– outline of CT for leadership; CT; CT activities; Expert CT; Overheads – Critical thinking
Delegation and Liability
PowerPoint slide shows:
DelegationAR2005, DelegationSB2006, Professional Guidelines
internship (legal implications)
Documents: Resource material, assessment tools, and/or group activities; Delegation and an outline for
the 2005 presentation
Experiences in a preceptor program
PowerPoint slide show: Experiences in Precepting
Documents: Resource material, assessment tools, and/or group activities
Activity – experiences; case scenarios; Do’s and Don’ts; Precepting challenges, SMC Experiences list
and 2nd page with possible solutions for each; Who I am – activity.
Preceptor toolkit
PowerPoint slide show: Preceptor Toolkit
Documents: Resource material, assessment tools, and/or group activities
Internship requirements chart; Nurse too long; Toolkit for preceptors’ Weekly conference form
Role and responsibilities of the preceptor
PowerPoint slide show: Roles and Responsibilities04; Roles and Respons2006
Documents: Resource material, assessment tools, and/or group activities - Attitudes toward helping
others; Notes R&R – presenter notes; Overhead – Roles; Precepting activity; Preceptor Demographics;
Preceptor Roles 2006; Preceptor Roles – Wheels; Preceptor Job Description; Preceptor Program; R&R
; Role of Preceptors – Overhead
Teaching/learning styles
PowerPoint slide show: Teaching-learning 2005 & 2006
Documents: Resource material, assessment tools, and/or group activities; Adult learning principles;
Example-Tchg plan; Notes-Teaching/Learning outline; Orientation plan – WS worksheet (table format);
Overheads – Lrng Styles; Pearls of Teaching/Learning; Tchg-Lrng Styles
Teambuilding
PowerPoint slide show: Team Building 04
Documents: Resource material, assessment tools, and/or group activities
DOCS FOR CONTACT HOUR APPPLICATION: contains documents related to a contact hour
application for self learning module and 2-day workshop – teaching plans, Bio sketches, evaluation forms,
certificate, etc.
2 Day PWS: planning & application documents for the two day Preceptor workshop
Certificate of attendance: a certificate template that can be used to document and track
contact hour award
CH application PWS 2006 – the completed application form as required in VT
PWS Agenda 2006: Agenda for the two days with the content developing from simple to
complex and based on a “behavioral outcomes” focus
PWS Teaching Plan: Teaching plan for content areas as listed within agenda
PWS eval form 2day: the evaluation form that summarizes content for a two day offering
PWS flyer 2007: the flyer used for promotion of the workshops with dates, etc.
Pre-Assignment: planning and application documents for the self learning module:
Certificate of Attendance: a certificate template that can be used to document and track
contact hour award
PreAssign_application: application form for VT contact hour credit for pre-assignment
PWS self study2004: the independent learning module that has been used as an introduction
for the 2 day workshop through early 2004
PWS self study2006: the recently revised draft of the independent learning module used as an
introduction for the 2 day workshop – the majority of resources used for this are web based
Teaching Plan self study 2004: the original teaching plan constructed for delivery of content
and contact hour documentation form.
Teaching Plan self study 2006: the teaching plan constructed for workshop pre-assignment
OTHER LEARNING MODULES
MANAGER-EDUCATOR Workshop Folder: documents and PP shows that are used with
manager/educator target audiences. Documents in this folder include agendas, PowerPoint shows,
overhead templates, and a summary of intern & preceptor programs (Intern-Preceptor models)
Documents: Resource material, assessment tools, teaching plans, group activities, etc.
Agenda-Educator – for both 2-day (recommended) and 1 day sessions
Blooms plus – action verbs
Educator’s session
Educator Pre-assignment2006
Educator Pre-assign-TchgPln
Icebreakers
Intern-Preceptor models
PowerPoint slide shows:
Evidence based Instruction 2004
Overview – Fall 2001
Preceptor Development
VNIP 2006
NEW ZEALAND RESOUCES - Documents and resources as contributed from Tricia Russell, 11
Lanason St, Greemeadows, East Napier, Hawkes Bay 20001, New Zealand
Administration Guidelines; Description of Programme1; Lit Research 2002; Module 1 – self
learning; Module 2 – workshop
SELF-LEARNING MODULES
o Change and Transition
o PrecComp-Listening
o Taking Care of our Young
o PrecComp-QuestionsIssues
o PrecComp-Coaching
o Preceptor Competencies
o PrecComp-Feedback
o TC2 – Preceptor Evaluation
Documents:
Topic Areas
Change Theory – Learning
EQ Resources
Reflective Learning
o Icebreakers
o Preceptor Celebration – Flyer; Agenda; TchgPlan
o Workshop outline
RESOURCE MATERIALS
CREDENTIALING PROCESS: documents that support credentialing process/program
Application-credentialing: application form for preceptor credentialing
Preceptor Expertise Eval: evaluation form for preceptor skills - Preceptee evaluation, self-evaluation, and
direct observation in the clinical setting by manager/educator
Documents:
Content listing for learning modules: a chart listing topic, content outline, and related activities
Interactive teaching strategies and plan: lists and chart that lays the groundwork for very interactive
workshop delivery. It focuses on the activities, group work, and/or assessment tools that mesh with the various
content areas
Preceptor roles – 2006 - Details and diagrams of role and responsibilities
Preceptor Roles – Wheel – Details and diagrams of role and responsibilities
Project outline – VNIP – gives further details of VNIP project components and requirements
PWS content & outcomes –performance outcome expectations and the general content outline
PROTOCOLS PLUS
1 Competency & performance assessment policy: a policy template that addresses competency validation
from interview through performance appraisal. Includes annual, unit-specific, and documentation competencies.
Job Description (JD – Preceptor VNIP): Example of a preceptor job description as defined by VNIP
evaluation/development tools
Preceptor Policys 1 & 2 – sample policys from Spear Memorial Hospital & HIS that addresses the roles,
responsibilities, timeline
Job Description - COPA - : a job description based on the COPA/Internship model, includes the detailed
critical elements from the competency form
Job Description RN template: a template for an RN job description based on the COPA model and Internship
checklist.
PERFORMANCE MANAGEMENT: documents specific to the Internship, RN orientation,
competency assessment, and/or performance appraisal. These are a sample of how the COPA model has
been incorporated from Job description through performance appraisal at one VT agency. These tools are
intended as a demonstration and example only.
Nursing Orientation Schedule: sample orientation plan for new hires. Contributed by Kelley Tully,
Springfield Hospital, Springfield, VT
RN – CCU 03, ED2, MCH, OR, & PACU: examples showing unit specific criteria transposed into agency
specific template for performance appraisal.
SPECIALITIES, Misc.
COMMUNITY-BASED CARE – if you work within Home Care or Public Health specialties, you
will find these documents interesting. Printing them is quite resource intensive and is not recommended
unless you have a specific need.
VNIP Home Care Specific – Documents and resources modified to serve Home Health needs
Public Health Specific - Documents and resources modified to serve Public Health needs