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2.0 Graphics BEN-The Essentia Way
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Created on August 5, 2025
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Transcript
The
Essentia Way
BUILDING
Delivering
Exceptional Nurses
Excellent Care
The Essentia Way
is a rebuild of our orientation process focused on Building Exceptional Nurses (BEN) from the ground up!
Nurse
Leader
Preceptor
Orientee
Leader
Preceptor
BEN: Building Exceptional Nurses
Simple Complex
The Blueprint
A CollaborativePreceptor Nurse Relationship
Time to Fortifythe Foundation
EINFORCING
REBAR
DUCATION
CTIVELY
EVIEWING
Time
The Competency Milestones
Nurse
Preceptors (1-3)
Match Schedules
A CollaborativePreceptor-Orientee Relationship
Nurse
Preceptors (1-3)
Match Schedules
A CollaborativePreceptor-Orientee Relationship
Hello! I'm your preceptor.
Hello! I'm your preceptor.
It's nice to meet you.
We are going to sharing many things during your orientation.
Hello! I'm your preceptor.
Hello! I'm your preceptor.
Orientee
Leader
Preceptor
Same Schedule
It's nice to meet you.
Hello! I'm your preceptor.
I'm a little nervous & I have some questions.
Hello! I'm your preceptor.
Sure, let's hear them!
We are going to sharing many things during your orientation.
Orientee
Leader
Preceptor
Same Schedule
It's nice to meet you.
Hello! I'm your preceptor.
I hear there is a new orientation. What is that like?
Hello! I'm your preceptor.
We are going to sharing many things during your orientation.
Let me walk you through it.
Orientee
Leader
Preceptor
Same Schedule
It's nice to meet you.
We
Hello! I'm your preceptor.
We
The first thing to know is You + Your Preceptor = one nurse at work.
We are going to sharing many things during your orientation.
I'm a little nervous & I have some questions.
Well, let's hear them!
ONE
ONE
Orientee
Leader
Preceptor
Same Schedule
It's nice to meet you.
We
Hello! I'm your preceptor.
Which means a matched schedule with your preceptors.
We
Well, let's hear them!
I'm a little nervous & I have some questions.
Matched Schedule
We are going to sharing many things during your orientation.
Orientee
Leader
Preceptor
ONE
ONE
It's nice to meet you.
Well, let's hear them!
Hello! I'm your preceptor.
As one nursewe take a full patient assignment.
We
Wow! That seems like a lot.
We are going to sharing many things during your orientation.
I'm a little nervous & I have some questions.
ONE
ONE
Orientee
Leader
Preceptor
Same Schedule
It's nice to meet you.
We
We
Hello! I'm your preceptor.
Don't worry. You won't be doing everything all at once-
Well, let's hear them!
-we will move from simple to complex, gradually increasing your responsibility.
I'm a little nervous & I have some questions.
ONE
ONE
Leader
Preceptor
Orientee
Same Schedule
It's nice to meet you.
We
We
Hello! I'm your preceptor.
Well, let's hear them!
Some of the advantages of this orientation include...
I'm a little nervous & I have some questions.
Consistent Preceptors =consistency in learning
Having a full assignment =exposure to more patient situations
ONE
ONE
Leader
Preceptor
Orientee
Same Schedule
It's nice to meet you.
Well, let's hear them!
Hello! I'm your preceptor.
We
Come on! Let's take a look at how exceptional nurses are built at Essentia.
Okay!
We are going to sharing many things during your orientation.
I'm a little nervous & I have some questions.
Orientee
Leader
Preceptor
Same Schedule
The Competency Milestones
Patient Flow
Care Plans & Goal Setting
Complex Patient Management
End of Life Care
Consents & Procedures
Blood Transfusions
Orders
Medications
Labs
Pain
Head-to-Toe Assessment
Lines Drains Airways
Risk Assessments
Vitals I & O
Safety
Room & Unit Order
Infection Prevention
EHR & Documentation
Patient Centered Care
ADLs
Nurse
Leader
Preceptor
Becoming Exceptional
Milestone 5
Add in Complexity
Milestone 4
Simple Complex
Taking Action
Milestone 3
Nursing Basics
Milestone 2
The Foundation
Milestone 1
BedrockRelationships
We start with good relationshipsas the bedrock...
Nurse
Leader
Preceptor
=Communication
... then create a solid foundation.
Infection Prevention
Room & Unit Order
Patient Centered Care
Vitals I & O
ADLs
Safety
EHR & Documentation
Primary Communicator
Milestone 1
Nurse
Leader
Preceptor
=Communication
Build in nursing basics...
Lines Drains Airways
Head-to-Toe Assessment
Risk Assessments
Milestone 2
Vitals I & O
Safety
Room & Unit Order
Infection Prevention
EHR & Documentation
Patient Centered Care
ADLs
Nurse
Leader
Preceptor
Primary Communicator
Milestone 1
=Communication
...and progress to taking action.
Pain
Medications
Labs
Milestone 3
Head-to-Toe Assessment
Risk Assessments
Lines Drains Airways
Milestone 2
Patient Centered Care
Safety
EHR & Documentation
Room & Unit Order
Vitals I & O
Infection Prevention
ADLs
Primary Communicator
Milestone 1
Nurse
Leader
Preceptor
=Communication
Mix in some complexity...
Orders
Blood Transfusions
Consents & Procedures
Milestone 4
Safety
Room & Unit Order
EHR & Documentation
ADLs
Patient Centered Care
Infection Prevention
Vitals I & O
Nurse
Leader
Preceptor
Medications
Labs
Pain
Lines Drains Airways
Head-to-Toe Assessment
Risk Assessments
Milestone 3
Milestone 2
Primary Communicator
Milestone 1
...and you are on the way to Becoming an Exceptional Nurse.
=Communication
Patient Flow
Complex Patient Management
Care Plans & Goal Setting
Milestone 2
Milestone 1
Milestone 5
Milestone 3
Milestone 4
End of Life Care
Head-to-Toe Assessment
Lines Drains Airways
Risk Assessments
Vitals I & O
Safety
Room & Unit Order
Infection Prevention
EHR & Documentation
Patient Centered Care
ADLs
Nurse
Leader
Preceptor
Medications
Labs
Pain
Consents & Procedures
Blood Transfusions
Orders
Primary Communicator
If there are skills or concepts that are challenging, we'll be able to catch this early and master them, before adding more responsibility.
Only when the objectives are met will we advance to the next milestone.
Preceptor
Patient Flow
Care Plans & Goal Setting
Complex Patient Management
End of Life Care
Consents & Procedures
Blood Transfusions
Orders
Medications
Labs
Pain
Head-to-Toe Assessment
Lines Drains Airways
Risk Assessments
Vitals I & O
Safety
Room & Unit Order
Infection Prevention
EHR & Documentation
Patient Centered Care
ADLs
Nurse
Leader
Preceptor
Orientee
Leader
It's nice to meet you.
We
We
Hello! I'm your preceptor.
Advantages of using Milestones include: *Decrease cognitive load *Individualize your orientation *Identify challenges quickly & intervene quickly
Well, let's hear them!
I'm a little nervous & I have some questions.
As we move through the various milestones, we will need to have open communication and be willing to both give & receive feedback.
Leader
Preceptor
Orientee
Same Schedule
- One Milestone of responsibility at a time
- Exposure to other experiences is okay, but skill responsibilities remain the same
- Competence, not perfection
- Knowledge
- Skills
- Abilities
- Judgement
- Focus on -
- Finding & using resources (policies, people, tools, etc)
- Problem-solving
- Use REBAR time to discuss all types of experience scenarios
Notes for Moving to the Next Milestone
Patient Flow
Care Plans & Goal Setting
Complex Patient Management
End of Life Care
Consents & Procedures
Blood Transfusions
Orders
Medications
Labs
Pain
Head-to-Toe Assessment
Lines Drains Airways
Risk Assessments
Vitals I & O
Safety
Room & Unit Order
Infection Prevention
EHR & Documentation
Patient Centered Care
ADLs
Nurse
Leader
Preceptor
skills from previous milestones+ these skills
skills from previous milestones+ these skills
skills from previous milestones+ these skills
Preceptor
skills from previous milestone+ these skills
Orientee
Leader
these skills
Along the way, we'll get time off the floor to review & reinforce what you've learned.
EINFORCING
REBAR
DUCATION
CTIVELY
EVIEWING
REview & REinforce
Time
Orientee
Risk Assessments
Leader
Preceptor
A Solid Foundation
Along the way, we'll get time off the floor to review & reinforce what you've learned.
EINFORCING
REBAR
DUCATION
CTIVELY
EVIEWING
REview & REinforce
Time
Focus of off-floor time: -Resources -Hands-on Practice -Critical Thinking Scenarios
Orientee
Risk Assessments
Leader
Preceptor
A Solid Foundation
REBAR time is a great place to ask & answer questions.
EINFORCING
REBAR
DUCATION
CTIVELY
EVIEWING
REview & REinforce
Time
In fact, we should never shy away from asking questions & finding answers
because curious & concerned nurses provide the best care.
Orientee
Risk Assessments
Leader
Preceptor
A Solid Foundation
REBAR is also a good time for feedback.
EINFORCING
REBAR
DUCATION
CTIVELY
EVIEWING
REview & REinforce
Time
Ensure that you understand E X A C T L Ywhat needs to be improved or changed and what success looks like.
And don't be afraid to ask for feedback - it can help build confidence.
Orientee
Risk Assessments
Leader
Preceptor
A Solid Foundation
It's nice to meet you.
I'm certain that we will learn a lot from each other.
We
Hello! I'm your preceptor.
We
Well, let's hear them!
Really? You'll learn from me?
I'm a little nervous & I have some questions.
We are going to sharing many things during your orientation.
Orientee
Leader
Preceptor
ONE
ONE
Really?
It's nice to meet you.
We
Hello! I'm your preceptor.
Of course! We should never consider ourselves "finished nurses" - we are always learning.
We
Well, let's hear them!
I'm a little nervous & I have some questions.
We are going to sharing many things during your orientation.
Orientee
Leader
Preceptor
ONE
ONE
Documentation Evaluation of Preceptor
As part of professional development, you will be asked to evaluate your preceptor at the end of orientation.
Orientee
Leader
Preceptor
How does everyone BENefit?
Well trained colleagues
Less frustration / burnout
Greater preceptor satisfaction
Acquire skills from simple to complex
Greater exposure to patients with full assignments
Preceptor models time management & prioritization
Early skill challenge identification & orientee support
Nurse
Leader
Preceptor
REBAR - off-floor time to reinforce learning
Orientation is individualized to the orientee
Orientee
Leader
Preceptor
Clear expecations and consistent training
ADVANTAGES
The
ESSENTIA WAY
COMMITTEDTOBUILDINGEXCEPTIONAL NURSES