Sault Area Hospital Learner Handbook

Welcome to your _________ Orientation!

Name: ________________

Preceptor: ______________
Date: _________________
Unit Make Up

NAME CONTACT INFORMATION

Director
Manager
Supervisor
Clinical Educator
Unit Assistant – Full Time
Dietician
Pharmacists
Physicians
(depending on the unit working on,
physicians will vary – generally list
the physicians the nurse will
connect with daily)
Infection Control

Extensions you may need (but definitely need to know)*

Code Phone 4177

Critical Care Response Team (CCRT) 5500
Pharmacy 5396

There are many allied health professionals that you will collaborate with to provide care for your patient.
They include registered respiratory therapists, social workers, physiotherapists, occupational therapists
and part time unit assistants.
It is important to communicate your learning needs to your mentor and the clinical educator. You will be
experiencing many new and unfamiliar responsibilities, situations and personal reactions as well as
further developing your critical thinking skills. It is challenging to transition to a specialty area of
practice even if you have many years of nursing experience. Ask questions and use the knowledge of
your mentor to help ease your transition to the unit. Reach out to the manager and educator if you feel
that you need further support.
There is an assigned additional resource (AR) nurse for every shift. Utilize them if needing assistance
and manager, supervisor, or clinical educator is not available. You may find that the AR will intervene or
give you suggestions about your patient care from time to time. View it as a learning opportunity since
the AR may have noticed an important detail based on their experience and knowledge level.
Orientation Schedule
 Benner’s 5 Levels of Nursing Skill Development
It is important to keep the Benner’s 5 levels of Nursing Skill Development in mind when transitioning to
a new area of clinical practice. Be patient with yourself as you adapt to your new work environment and
continue to expand your clinical knowledge.
 Skill and Knowledge Checklist
The Skill and Knowledge Checklist is a self-assessment tool designed to guide you and your mentor to
identify existing skill and knowledge and areas for ongoing learning opportunities. It is not expected that
you will complete everything on the checklist during your mentored shifts rather that you continue to use
it to further your nursing knowledge and skills in the beginning of your nursing career.

Nursing Orientation Passport – Checklist for New Hires

Welcome to Sault Area Hospital! The purpose of this passport is to document your journey through the
mandatory orientation requirements that must be met by all new nursing staff. Once completed, this
document will be reviewed with you by your Clinical Educator.

Your Leaders

Please contact your manager to discuss your unit/department Please contact your Clinical Educator
orientation schedule for clinical practice and education
questions

Manager Name: Supervisor Name: Educator Name:

Phone: Phone: Phone:
Email: Email: Email:

Computer/IT Access

You have been assigned a username and temporary password. IT Service Desk:
If you have any questions or concerns, please contact IT Help ithelpdesk@sah.on.ca
desk.

Before your first clinical shift: To be completed as soon as

possible

* Employee Links
Identification, Wayfinding, Introductions, Access: · Find this list under “Staff” on the right side of the
homepage

 Department/Unit Tour – first day on unit  Abilities Management

  Introduction to other staff members  COVID-19 Staff Resources
 Building access and codes (if applicable)  Education
 Parking (if applicable)  Employee & Family Assistance
 Locker assignment (if applicable) Program
 Signing in for your shift – Kronos  Employee Services
 Kronos  Health Sciences Library
 Workforce Planning  Occupational Health
 Request for time changes  Remote Access (if applicable)
 Vacation planner location and timeframes  Shining Star
 Staff Wellness
Employee & Family Assistance Program (EFAP)  Ventures Menu

 https://sah.on.ca/staff/employee-family-assistance-program-
efap/
 1 (844) 880-9142
 Employee Services at SAH: (705) 759-3434 x2463
employeeservices@sah.on.ca

LMS to be completed before your first clinical shift

** Your list of Learning Modules will likely be longer than this list. The ones listed below are
your priorities for Orientation week. For the remaining modules, you will be required to
complete them by 3 months of employment.

** IF you have Medical Directives on your list, we suggest those are your second priority after
this initial list

Learning Management System (LMS): Access via desktop “SAH LMS” Icon

Welcome to Sault Area Hospital

Respectful Workplace Program
Work Place Violence Education
Vanessa’s Law
WHMIS Training
SAH Corporate Safety
Accessibility
Emergency Measures
Donning and Doffing
Chain of Transmission and Risk Assessment During Covid-19
Worker Health and Safety Awareness
Safe Management of Healthcare Waste
Privacy Training
Fire Extinguisher Training
Radiation Safety for ADCP Staff (if applicable)
IPAC Core Competency Training
Meditech Expanse Training
Pyxis for Clinicians
 Beginning of Shift Safety Checks
Patient
ID band – present with appropriate color
Allergy Band – present, accurate to Meditech
All dressings labelled with date change
Restraints – order and consent obtained (if
initiated*)
Restraints – secure on limb/body (if initiated*)
Restraints – secured to appropriate tie down on
bed (if initiated*)
Restraints-adequate circulation (if initiated*)
Call bell accessible
Side rails up, brakes on, bed at lowest possible
position

Room
Isolation signs on door (if initiated*)
Violence flag on door (if history if violence noted
in chart*)
Negative Pressure on if applicable
All suction patent and functional
Extension tubing secured to floor if applicable
Room is tidy, minimal garbage present, bedside
tables clean

Equipment
IV pump programming matches MAR
IV solutions labelled and match pump
IV tubing date and labelled and infusing to
appropriate sites
Primary med line clearly labelled and accessible
Tube feeding sets labelled and change date noted

Orders Acknowledged/Worklist Reviewed

 Daily Schedule

Time Day Shift

0645 Receive report and complete Transfer of Accountability
Review worklist and MAR
0715 Initial assessment of patient
Blood Glucose
Fill out whiteboard
0800-1000 Morning medications
Review lab results from this am if available
0815 Breakfast trays
Mobilize patients up to chairs for breakfast
0830 – 0900 Break 1
0900 – 1100 Physiotherapy/Occupational Therapy to assess
and perform physio with patient
0915 – 0945 Break 2
1000 Review am labs results from this am (should be available
by now)
Replace electrolytes as required
Reassess orders as physicians’ round and assess patients
1015-1200 AM care
Documentation
1130-1200 Lunch 1
1200-1230 Lunch 2
1130-1230 Lunch medications, blood glucose monitoring,
lunch trays, ambulating patients up for lunch
1300-1500 Ensure orders from physicians are processed and
Acknowledged
Mobilize patients up to chair/wheelchair for supper
1600 Ins and Outs – clear feeding pumps, IV pumps,
empty drains and foleys
1630 – 1800 Dinner Trays, Blood glucose monitoring,
Supper medications
1800 Ambulate/Transfer patient back to bed prior to
oncoming nurse coming on to shift for
safety – toilet patients prior to shift change
prepare for shift report – use tool of your choice
Update Daily Alerts
Ensure all IV infusion and blood product transfusion records are
completed
Ensure all clocks are cleared from the worklist for your shifts
Obtain ice water for oncoming shift prior to the
oncoming shift

Time Night Shift

1845 -1900 Receive report, complete Transfer of Accountability
1915 Review work list and MAR
Initial assessment and vital signs
Complete HEAL assessment of room
Fill out whiteboard
2000 - 2200 Blood Glucose
Evening Medications
Documentation
2100 HS Care
1900 – 0700 HOURLY ROUNDS OF PATIENTS TO ENSURE PATIENTS
ARE STABLE (BREATHING, CSM ADEQUATE,
NO PAIN PRESENT, ETC)
Ensure bed alarms on (if initiated*)
Offer toileting if patient is awake
0400 Ins and Outs – clear feeding pumps, IV pumps,
empty drains and foleys
Document Ins and Outs in appropriate intervention
0600 Safety – toilet patients prior to shift change/offer
at minimum
Prepare for shift report – use tool of your choice
Update Daily Alerts
Ensure all IV infusion and blood product transfusion records
are completed
Ensure all clocks are cleared from the worklist for your shifts
Obtain ice water for oncoming shift prior to the
oncoming shift
0630-0700 DO NOT LEAVE UNTIL NARCOTIC COUNT IS COMPL

Night Duties: Individual Hallways Night Duties: General Unit

- Blood Glucose Controls - Stock blanket warmer
- Stock Blood Glucose container - Stock medication room
- Stock linen cart - Crash cart check (if unit has one – usually
- Stock Computer on Wheels AR duty)
(COW/WOW) with necessary supplies - Stock personal protective equipment inside
(10cc pre filled syringes, alcohol swabs, and outside the rooms
50cc/100cc mini bags, check drawers for -
stocked IV caps, lube, etc.)
- Stock and tidy room
- Empty laundry and garbages
- Send restock form to pharmacy for
creams, eye drops, etc if low for next
oncoming shift
- Stock personal protective equipment
inside and outside the rooms (including
isolation carts)
 Kronos Staffing & Scheduling Information
We would reach out to staffing and scheduling to get the information to complete
this.
 Meditech Resources
Tip Sheets from New Hire Orientation
Meditech policies and Procedures
Reference to G drive for location of this information also
Transfer of Accountability Form