1. MaineGeneral Medical Center Student Nurse Orientation
2015
Created by Rebecca Thompson RN BSN

2. MaineGeneral Nursing Vision
"To serve all who enter our doors with skillful hands and compassionate hearts" It is an expectation that student nurses will adhere to the MaineGeneral Values and Standards: Giving Our Best Everyday . . .
Embrace the Vision

3. AIDET
AIDET is a acronym, used at MGMC for patient and visitor interactions.
It reinforces Respect & Trust with our patients and their families and visitors.
ALWAYS use AIDET to best communicate your interaction or purpose at each patient/family/visitor encounter

4. Relationship Based Care
is the nursing delivery model of care at MGMC.
Relationship based care is a nursing care delivery system that gives us a structure for organizing and delivering care with Registered Nurse responsibility, authority and accountability for outcome as well as emphasis on intentional partnerships with patients and families.
The Patient is at the center of our care.
The Health Care team is responsible for knowing the patient’s history or patient’s story.
The Patient is involved in goal making and their individual plan of care.
Use the White board to communicate the plan of care with our patients.
Our computerized medical record highlights our patient's preferences and individualization needed to give excellent care.

5. Finding your way . . . Park in the Staff Parking Lot
Take the 2nd Left on Medical Center Parkway Drive
Follow the drive around to the back of the hospital
Park in the furthest parking lot
****Plan on 15 minute walk time to the staff entrance****

6. Can I get there from here
Can I get there from here? Use these maps to become familiar with what is on each floor.
What is located on the Terrace level?
Rehab Unit
Security
IT Training Rooms/ Computer Lab
Clinical Skills Lab
Cafeteria
Spiritual Center

7. What is located on the First Floor?
1 West
CCU ED
Medical office buildings
Main Entrance
Gift shops, Main Street Cafe
Outpatient Lab
Imaging Department
Conference Rooms 1-3

8. What is located on the Second Floor?
2 west
Maternal Child Health Unit
Medical Office Buildings - OB/GYN and Surgical
OR and Surgical services
Cardiac Cath Lab
Endoscopy
Classrooms 1-3
Library

9. What is on the Third Floor?
What located on the 3rd Floor?
3 West
Mental Health and Substance Abuse Unit
PT/OT Inpatient Gym
Administration Offices
Meeting Rooms 1-4

10. Become familiar with your Surroundings

11. As A Student Nurse I Will . . .
Come prepared to seek learning experiences and actively engage in the experience offered.
Be motivated, enthusiastic, willing to learn and be an active part of the healthcare team
Maintain Confidentiality at all times
Assist the unit team if available
Be appropriately prepared for my clinical experience
Follow the dress code
Adhere to the student code of conduct
Be Punctual
Be Knowledgeable in relevant anatomy, physiology, pathophysiology and clinical practice guidelines for your clinical area
Bring required equipment
Open the doors to learning

12. Observational Experiences
As a Student you may have the opportunity to observe a nursing specialty.
These opportunities are for observing only, no hands on. You will not be preforming any tasks.
It is an chance to learn about the different roles of the registered nurse.
Areas for observational experiences
The Operating Room
Endoscopy Unit
Cardiac Catheterization Lab

13. Student Nurse Safety Check List

14. WASH your HANDS! 5 Moments for preforming hand hygiene
Effective Hand Hygiene utilizing soap and water or alcohol rub requires a 15 second minimum scrub per CDC guidelines.

15. Pain Assessment & Follow Up
Assess Pain every hour
Follow up pain medications within minutes of administering pain medication

16. Smart Pumps
Use the Smart Pump Drug Library and Clinical Care Area 100% of the time

17. Communication Communicate frequently with your nurse.
Use the ISBAR format when giving report. I
Introduce S
Situation B
Background A
Assessment R
Recommendation

18. Communication Answer call lights
Cancel the call by pushing the green button on the duty station in the patient room
Update the white boards

19. Rapid Response
A Rapid Response is call for a rapid assessment of an inpatient with acute status changes.
Dial from a landline phone to call a rapid response

20. Rapid Response Guidelines Student nurses are encouraged to call if:
Patient experiences Acute Changes:
<40 or >130 beats per minute
Systolic Blood Pressure <90 mmHg
Respiratory Rate <8 or >28 breaths per minute
Level of Consciousness
Patient experiencing Acute & Persistent changes:
Saturation< 90% with Oxygen
Need for additional clinical opinion:
Concerned, Unsure, Scared, Safety Concerns

21. Student Nurse Documentation
Utilize the Clinical Practice Guidelines for Evidence Based Practice
Clinical Practice Guidelines help to guide your nursing practice by answering these questions:
What are the potential complications related to this diagnosis?
What should I be aware of or how do I identify these complications?
What does the most current evidence say about this disease/disorder?
What do I need to educate my patient about this disease/disorder?

22. Document in Real Time
Use the computer in the patient’s room

23. Use Bar Code Scanners for Medication Administration
Bar Code Scanners are located in every patient room.
Use the Bar Code Scanners for every medication given
STOP and SCAN

24. Thank you
for being part of the MaineGeneral team! For any questions regarding students or student placement at MaineGeneral Medical Center, please contact: Rebecca Thompson, RN BSN Phone: Or mainegeneral.org