TIME LOG FOR IMMERSION EXPERIENCE

UNIVERSITY OF SAINT MARY

Rationale for Activity/Educational Value to Notes: (include program outcome or course

Date Time (hrs) Activities
3/14/2017 2 Literature Search and Synthesis
Hospital tour and initial
preparations per hopsital policy.
Attended a "hundle" focused on
risk management, interviewed
4/6/2017 8 potential hires, entered and
reviewed data including patient
satisfaction scores, discussed
nurse turnover and statistics
within the organization.
4/1/2017 1 Literature Synthesis
project objective if applicable)
Search and synthesis of
Forty Two Articles Identified During
literature related to my
This Time. Synthesis ongoing.
practicum project
Utilized technology to identify
needs, used effective
communication and relationship Course Outcomes Met: 745.5,
building strategies, demonstrated 745.6,745.8 & 745.9
an understanding of group
dynamics
Synthesis of literature previously
obtained related to my practicum Synthesis ongoing.
project

Literature Synthesis & began Final organization of literature Literature synthesis completed. Writing
4/11/2017 5
project paper outline and writing. before beginning initial writing. began.
 Sat in on applicant interviews,
attended an executive meeting
r/t organizational outcomes and
engagment, sat in on disciplinary
4/17/2017 9 action and termination of an
employee, attended a nurse
meet and greet, watched my
preceptor give a presentation at
hospital orientation.
Attended a shared governance
meeting related to nursing
practice and quality, compiled
and reviewed data related to the
organizations nurse retention
rate, recognized the hospital
4/20/2017 8 volunteers at their annual
appreciation dinner, attended a
townhall meeting related to
political, social, and economic
factors that are currently
affecting the delivery of
healthcare.
Observed the promotion of a
professional environement and
the applicaton of leadership skills
within the healthcare system to
Course Outcomes Met: 745.2, 745.3,
provision of culturally relevant
745.6 &745.8
care, observed the utilization of
effective communication, and
understand group dynamics and
group processes.
Observed the promotion of a
professional environment,
observed the utilization of
effective communication, and
understand group dynamics and
Coures Outcomes Met: 745.3, 745.4,
group processes. Collected the
745.5, 745.6, 745.7, 745.8 & 745.9
beginning data for my project in
attention to more clearly
understanding information
management and technology and
their role in healthcare.
 Participated in nurse leader
patient rounding where oreinted
patients were surveryed and
interviewed about their
Participated in and observed a
satisfaction with nursing staff and
professional, high quality nursing
bedside report. Rounded with
environment made by applying
nursing staff including new
leadership skills and effectice
orientees to discuss any concerns
communication in order to allow
or questions. Inputed data Course Outcomes Met: 745.2, 745.3,
4/24/2017 8 for accountability for healthcare
regarding CAUTI and line graphs 745.4, 745.5 &745.7
delivery and outcomes. Factors
from data were produced,
identified for quality
analyzied and reviewed with
improvement. Utilized
staff. 2016 as well as past RN
technology in order to input data
satisfaction magnet survey scores
and identify educational needs.
reviewed with staff. Low scoring
areas noted and brain storming
began on how to improve these
scores for 2017.

Fifty exit interviews that meet

project criteria reviewed and
4/25/2017 4 All project data collected. Data now needs to be analyzed.
data collected. Themes
identified.
 Attended a conference call for
magnet status update in regards
to what documents need to
submitted, specifically ethical
consultation and EP15
documentation. Attended a one Observed a high degree of
on one transition meeting with accountability and high-level
the current manager of the communication skills in addition
wound care clinic and the staff to the examination of the set of
member (my preceptor) who will skills needed in the advanced Course Outcomes Met: 747.4, 747.5, &
5/1/2017 8
be transitioning into that role. practice role related to self and 745.5
Safety Huddle was completed, professional environment.
safety concerns that arose Utilized techonolgy in order to
throughout the weekend were communicate with leaders across
presented, discussed, and the country.
reccomentations made to
prevent future occurances.
Lastly, another conference call
was completed with the
outsourced wound care company
 Attended ED unit rounding and
an interesting employee relation
issue regarding bullying was
addressed professionally.
Reviewed daily patient bed
worksheet and metro ED bed
5/4/2017 8 worksheets to get a clear picture
of house bed availability and city
wide. Attended bed briefing
meeting and then a scheduling
committee meeting headed by
staff to determine the most ideal
way to schedule.
Observed the use of shared
governance within the healthcare
system as well as a high degree of
accountability and high level
communication skills in order to
Course Outcomes Met: 747.4, 747.5,
deal with employee issues. In
745.2, 745.5, 745.6, 745.8 & 745.9
addition, techology and metrics
was used multiple times during
the day to determine available
and projected beds throughout
the organizaiton and the metro.
 Observed the effective usuage of
thoroughput within a large
organization. Reviewed a large
amount of data r/t central
patient logistics, key
performance indicators.
Witnessed a large amount of
Reviewed discharge trends
technology and metrics utilized in
including by hour of day and per
order to recognize trends and
department to determine trends
improve proccess based on these.
and shift staff to those times in Course Outcomes Met: 747.4, 747.6,
5/5/2017 8 Observed a high level of
order to more effecively utilizee 745.2, 745.4,745.5, 745.6 & 745.8
communication and was able to
them. Bell Curve, Scatter Graphs,
apply current theories that
pivot tables and bar graphs were
affects the delivery of healthcare
utilized. Recognized that patient
services.
input and output was guided by
systems theory. Attended a
meeting with the ED medical
director to discuss how to
improve the thoroughput
process.
Began analyzing previously Trends identified but continued
5/7/2017 3 Data analysis continuing.
collected data. analysis is needed.
 Attended an RN breakfast meet
and greet with my precpetor
which included the CEO, CNO,
and all of administration. My
preceptor spoke about Magnet Observed a high level of
status and what it means to RNs communication. Development
within the organization, and promotion of a professional
introduced shared governence, environment through
and the organizaitons accountability was also
professional practice model. identified. Leadership skills and Course Outcomes Met: 745.2, 745.3,
5/8/2017 8
Attended an ethical dilemma decision making in order to 745.6, 745.8 & 747.4
meeting with the ethical ensure culturally relevant, high
committee where a situation was quality nursing care was provided
presented and decision made. was witnessed through the
Conference call was completed collaboration of an
r/t completing the necesary steps interdiscipliary ethics tream.
to submit magnet status
paperwork for a juvenile psych
hospital that was recently
purchased by the organization
 Attended an intense
meeting/discussion/educational
opportunity focused on the
emergency room and ways to This meeting ensured that a
recognize and promote higher professional environment
quality care within the through communication and
Course Outcomes Met: 745.3, 745.5,
5/9/2017 8 organization. Practice accountability was being met.
745.8 & 745.9
improvement, quality The impacts of political,
improvement and policy revisions instituational, social and
were hot topics. All economic factors were discussed.
administration was involved and
many disciplinaries were
represented.
Final project work: revisions,
Research, organization, analysis, Research, organization, analysis, and
5/9/2017 2 continued research and data
and writing continuing. writing continuing.
anaylsis.

Finale project work: research,

5/14/2017 3 Final project writing continuing. Continuing.
data analysis, and graph creation
 Assisted in the preperation of
education courses and
competency for nursing staff.
Gathered data for an ongoing
proposed policy changed related
to bed assignments. Attended
the monthly hospital admin
5/15/2017 8 meeting r/t monthly safety and
outcome measurements.
Reviewed characteristics of a
successful leader and the
importance of shared
governance. Investigated a
patient complaint and came to a
resolution.
All project research completed,
graphs and charts for paper
5/16/2017 5
completed, and final project
paper rough draft completed.
Observed a professional
environment through
accountability and high-level
communication skills. Examined
my professional role in terms of
self and professional
Course Outcomes Met: 745.2, 745.6,
environment. Applied leadership
745.8, 747.4 & 747.5
skills to ensure postive
educational outcomes. Utilized
effective communication
strategies. Demonstrated an
understanding of group dynamics
to work as an effecttive group.
Final project rough draft Final project rough draft submitted to
completed. Dr. King.
 Reviewed final project paper with
preceptor, re-evaluated the
evaluation outcomes with
preceptor as well and learning
Once again, a professional
agreement to ensure all points
environment through
were met. Discussed my future
accountability and high-level
goals and aspirations including
communication was observed.
continuing my education.
Leadership skills were applied to Course Outcomes Met: 745.2,745.3,
Participated in safety huddle to
5/19/2017 8 ensure positive educational 745.4, 745.6, 747.3, 747.4, 749.1,
review any safety concerns that
outcomes and safe patient care 749.6,
occurred over the weekend.
was being provdied. Final project
Reviwed metrics related to
was reviewed as well as all
quality improvment as well as
outcomes of MSN program and
education requirements for
the immersion experience.
nruses that had or had not been
met. In addition, nurses who
failed to renew their missouri
license were identified.
Final project revisions as noted
5/20/2017 1 by Professor Saim revised and Final Project Revisions Final Project Revisions.
paper reviewed.
Final project paper revisions and Final project paper revising
Final project revisions and portfolio
5/24/2017 6 portfolio documentaion. Review continuing as well as portfolio
completion.
of AONE competencies. completion.
TOTAL: 121