![]() ![]() “The tool was pilot-tested by a large health care system, who felt it was quite comprehensive and assisted in their decision-making,” said Hinkley. From this work they were able to develop a self-assessment that takes 15-20 minutes to complete. They then focused on emerging and established competencies only, rather than worrying about expert-level competencies. However, in order to repurpose the draft model for COVID-19 purposes, the organization first identified the domains of practice which were most relevant. When the pandemic hit and staffing became an immediate issue, AMSN recognized that the existing work for the competency model could be repurposed as a solution. ![]() representing different regions, types of organizations and medical-surgical practice settings worked together to map the knowledge and task statements from job descriptions to build the competency model. ![]() Subject matter experts from around the U.S. Their work began in August 2019 and included a literature review. Although some institutions and nursing schools have their own models, “there was no one consolidated competency model,” according to Hinkley. There’s a lot of movement to make it all work.”įortunately, AMSN was already working on developing a new competency model for medical-surgical nurses. “That allows the hospital to free up some medical-surgical nurses and move them into their critical care and ICU units. “The easiest thing to do is to put them on medical-surgical units because they aren’t providing critical care,” said Hinkley. How can institutions be sure candidates have the skills needed to provide efficient and quality care? How can hospitals feel confident placing someone who hasn’t worked at the bedside for a couple of years, back in a patient setting? But with a crisis of this magnitude affecting everyone, including large and small facilities in cities and rural areas, MSNCB and AMSN “felt it was a great opportunity to help out,” Hinkley said. Attracting experienced former nurses, such as educators or administrators, and retired registered nurses back into direct patient care.įinding a way to identify enough individuals with the right competencies needed to help out with a health care crisis is difficult enough when the impact is localized or short-term, such as following a natural disaster or an act of terrorism.Recruiting nursing students and medical students with sufficient medical knowledge and.Redeploying existing nurses from other units that have excess capacity due to the cancellation of routine or non-emergency procedures.For example, in order to staff COVID-19 units, hospitals have options such as: This presented a unique staffing challenge: “Hospitals needed to bring in people they didn’t know as many hands as they could possibly find,” she said. “We knew staff would be needed in New York City to deal with a crush of patients who were critically ill,” Hinkley explained. This includes individuals who have had heart attacks or strokes, as well as those needing post-operative care. AMSN represents approximately 600,000 medical-surgical nurses, who are the individuals providing most of the general acute care adult nursing that most sick people need. Many hospitals created COVID-19-specific units contained from other areas of the hospital in order to provide specialized care, according to Terri Hinkley EdD, MBA, BScN, RN, CAE, CEO of the Medical-Surgical Nursing Certification Board (MSNCB) and the Academy of Medical-Surgical Nurses (AMSN) in Sewell, New Jersey. Yet another key issue hospitals are facing is how to make sure they have enough health care providers with the right competencies in place at the right time, to meet the needs of their community when cases begin to spike. Widespread news reports have alerted the general public to many of the challenges faced by hospitals suddenly overrun with COVID-19 patients, including a lack of personal protective equipment and ventilators. ![]() Leading organizations in the medical-surgical nursing community have developed a competency-based tool to help institutions redeploy nursing personnel needed to care for patients with COVID-19. ![]()
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