General Nursing orientation 2017 hand book

HAND BOOK
K i n g F a h a d M e d i c a l C i t y
E x e c u t i v e A d m i n i s t r a t i o n o f N u r s i n g A f f a i r s
N u r s i n g E d u c a t i o n A d m i n i s t r a t i o n

King Fahad Medical City
Executive Administration of Nursing Affairs
Nursing Education Adminstration
Developed by:
Wael Ammar (Nurse Educator)
Mylene Pasia (Clinical Instructor)
Revision Date Revised By
Revision1 October/2016 Wael And Mylene
Revision2 September /2017 Wael And Mylene
Revision3
GENERAL NURSING ORIENTATION
&
PREPARATION FOR PRACTICE
HAND BOOK
2017

Table of Contents
Introduction .................................................................................................................................................. 2
Program Model............................................................................................................................................. 2
General Nursing Orientation and Preparation for Practice components ......................................................3
Generic Outcome and Objectives..................................................................................................................4
Program Schedule ......................................................................................................................................5-8
GNO and PFP Topics Objectives ............................................................................................................9-13
Mandatory Training Objectives ..................................................................................................................14
Program Design ..........................................................................................................................................15
Program Evaluation Methods ....................................................................................................................15
KFMC Preparation for Practice Work Groups .......................................................................................16-23
Required Core Content for Each Skills Workshops ...............................................................................24-26
Clinical Skills Workshops Scenario Form ..................................................................................................25
Competency Check-off List ...................................................................................................................26
Clinical Skills Work Shop Summary.................................................................................................27-30
Checklist of Evaluation Tools Given to HN ...............................................................................................30
GNO and PPF Management Process...........................................................................................................31
GNO and PFP Flow Chart ..........................................................................................................................32
GNO and PFP action plan…………………………….…………………………………….............. 33-37
GNO and PPF Documents………………………………………………………………….…………38-50
GNO AND PPF Directory………………………………………………………………………….…51-53

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Nursing Education Department
GNO and PFP Hand Book
Introduction and Background
General Nursing Orientation (GNO) is a formal process to orient newly appointed nurses and nursing
education staff to the organization, nursing department, philosophy of nursing and resources available to support
nursing practices and professional development.
KFMC Preparation for Practice was recently designed to provide newly hired nurses the opportunity to become
exposed to the knowledge and practice the skills in a safe environment that they will be involved in at KFMC.
In the past years, the newly hired nurses were schedule for General Staff Orientation (GSO) for 2 days, General
Nursing Orientation (GNO) for 3 days and Generic Competency check off for 2 days as part of the orientation
process. Other training for new nurses were schedule and/or conducted by the Clinical Instructors in the unit.
In 2010, the GNO and KFMC Preparation for Practice Program was developed by the Director of Nursing- NED
in the person of Ms. Donna Hilliard. The program aims to provide the newly hired nurses with the needed skills,
knowledge and attitude to practice with confidence, competence, commitment and to improve the patient and
staff safety, in accordance to CBAHI and JCIA accreditation standards.
Nursing Care Program Model
HOPE AT KFMC
Holistic Approach
Adapted from the ‘Science
of Caring’
Jean Watson
Patient and Family
Centered Care
Adapted from the Pickers
Institute & Institute for
Patient and Family
Centered Care
Evidence Based
Nursing
Associated with the
Joanna Briggs Institute

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General Nursing Orientation and Preparation for Practice components:
A. General Nursing Orientation (3 days) and Classroom interactive sessions (12 morning sessions )
1. Introduction to Nursing Services
2. HOPE Nursing Model
3. Introduction to Nursing Education Administration)
4. Preparation for Practice (Overview )
5. Portfolios - distribution & explanation
6. The Role of the Professional Nurse and Ethics
7. Saudi Commission for Health Specialty
8. Overview of Nursing Disaster Plan
9. Pain Management
10. Blood Drawing (Phlebotomy)
11. Evidence Based Practice ( EBP ) and Research
12. Patient / Family Education & Discharge Planning
13. Nursing Process and Patient Care Planning
14. Arabic Lesson
15. Overview of Nursing Documentation
16. Respiratory Therapy
17. Skin Integrity Wound Care
18. Crash Cart Training and Code Blue
19. Pre-Operative Checklist
20. Cultural Diversity
21. Quality Improvement
22. Datix
23. Infection Control
24. Pharmacy Training/Tour
25. Nutritional Screening/Clinical Nutrition
26. Workforce Management-E3 Lawson
27. Workplace Violence
28. EMS and Ambulance Services
29. Antimicrobial Resistance
B. KFMC Preparation for Practice includes (14 days):
1. Clinical Skill Workshop (12 sessions)
2. On Units to complete competencies (3 visits )
C. Mandatory Training Sessions (3 days)
1. Basic Life Support (BLS) Provider Course
2. Point of Care Testing (POCT)
3. Medical Equipment Training Defibrillator( Alaris Infusion pump, Syringe pump,Dynamap monitor)
4. Manual Handling Training
5. CorTTex (in the unit)
6. IV Admixture
7. Pyxis training (in the unit)
D. Other activities:
1. Medication Review

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2. Medication Examination
3. Arabic Lessons
Generic Outcome and Objectives
Outcome
Upon successful completion of the KFMC Preparation for Practice Clinical Skills Workshop, the nurse should
demonstrate competency in having acquired the knowledge and skills, integrating KFMC and Nursing Services
mission and values into the content of the workshops to render quality and safe nursing practices to patients.
Objectives
1. Utilize the nursing process during the following nursing actions:
a. Conduct a holistic patient assessment on a patient.
b. Develop a plan of care according to the patient’s needs and priorities.
c. Implement nursing interventions that address the identified patient needs and priorities in a safe and
competent manner.
d. Evaluate the effectiveness of the nursing care that was provided.
2. Demonstrate critical thinking and critical judgment within the assigned scenario.
3. Demonstrate awareness and sensitivity to culture diversity in a multicultural setting.
4. Demonstrate professional behaviors and effective communication.
5. Document all findings accurately according to the related Clinical Documentation Policy and Procedure.
6. Apply precautionary measures to prevent infections in the unit and according to applicable Infection Control
Policies and Procedures, utilizing equipment appropriately and in safe manner.
7. Develop a patient and family education and discharge plan in planning process and identify members of the
multidisciplinary team that must be included.
8. Ensure the correct identity of the patient at all times and before undergoing any procedure.

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Program Schedule

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NEA Classroom
Sunday
PFP Registration
Explanation of the Day
PFP Registration
PFP Registration
PFP Registration
Mylene/ Kumareswari Mylene/ Kumareswari Mylene/ Kumareswari Mylene/ Kumareswari
Mylene Pasia John Chiong
Maria Holswilder Daad Salhab Mahmoud Mukahal Joseph Alvin Paulino
10:30 Coffee Break Coffee Break Coffee Break Coffee Break
Marcelino Salom
Nutritional
Screening/
Clinical Nutrition
Dr.Abdiqani Qasim
Clinical Nutrition
Department
Respiratory Care
Education Team
Joseph Alvin Paulino
12:00 Lunch Break Lunch Break Lunch Break Lunch Break
Kamilla Al Ammar Pharmacy
EMS Dr. Petro Bassoon Franklin Q. Lim Pharmacy
Pain Assessment
and Management
Saudi Commission
for Health Specialty
End of day wrap up
session
End of day wrap up
session
Blood and Blood
Drawing
(Phlebotomy)
15:30-16:00
15:30-16:00
15:30-16:00
13:00-15:30
13:00-15:30
BLSTraining
Omtheunit
IVAdmixture/ManualHandling/POCT
MedicalEquipmentTraining
Explanation of
Portfolio
EMS Services and
Ambulance Sevices
Awareness
13:00-14:0014:00-15:00
Pharmacy Tour
15:30-16:00
Evidence-Based
Practice
Preparation for
Practice Overview
11:00-12:00
08:00-12:00H
Workforce
Management
(E3 Lawson)
Introduction to
Nursing Education
Administration
07:30-8300
11:00-11:30H
07:30-8:30H
OntheUnit
08:30-9:30
Respiratory Therapy
07:30-8:3008:30-09:30H
Overview of Nursing
Disaster Plan
NEA Classroom NEA Classroom NEA Classroom *venue acc to activity
Tuesday Wednesday Thursday
Medication
Calculation Review
08:30-10:30H
GNO and KFMC PFP- 1st Week
MedicalEquipmentTrainig
11:00-12:00H Medication
Calculation review
BLSTraining
11:30-12:00
09:30-10:30
Introduction to
Nursing Affairs
Monday
End of day wrap up
session
Pharmacy Training
13:00-15:30
End of day wrap up
session

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NEA Classroom
Day Sunday Monday
PFP Registration
PFP Registration
PFP Registration
PFP Registration
Mylene Pasia Maria Holswilder Wael Ammar/ Samah Dr.Husam AlHarastani
Coffee Break Coffee Break Coffee Break Coffee Break
Mylene Pasia Zelbert Virtudazo Wael Ammar Wael Ammar
12:00 Lunch Break Lunch Break Lunch Break Lunch Break
Cultural diversity
08:30-10:30H
08:30-10:30H
Pre-operative
Preparation
Arabic Lesson
Clinical Skills
Workshop
13:00-16:00
Clinical Skills
Workshop
13:00-16:00
13:00-16:00
11:00-12:00H
Medication
Examination
11:00-12:0007:30-8:30H
07:30-8:30H
07:30-800H
11:00-12:00
Overview of Nursing
Disaster Plan
GNO and KFMC PFP - 2nd Week
Medication
Examination
08:30-10:30
08:00-10:00
11:00-12:00
The Role of
Professional Nurse
and Ethics
NEA Classroom *venue acc to activityNEA Classroom NEA Classroom
Tuesday Wednesday Thursday
07:30-8:30H
BLSTraining
Ontheunit
Arabic Lesson
BLSTraining
Clinical Skills
Workshop
Omtheunit
13:00-16:00
Clinical Skills
Workshop
Lunch Break

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NEA Classroom
Day Sunday
PFP Registration
PFP Registration
PFP Registration
PFP Registration
Mahmoud Mukahal Hazel Villarosa Aurora Biazon Janice Penaflorida
10:30
Wael Ammar Wael Ammar Wael Ammar Wael Ammar
12:00
NEA Classroom NEA Classroom *venue acc to activity
08:00-08:30
08:00-08:30
08:30-10:30H
GNO and KFMC PFP - 3rd Week
11:00-12:00
Nursing Process
and Patient Care
Planning
08:30-10:3011:00-12:00
Infection Control
Lecture
NEA Classroom
Tuesday Wednesday ThursdayMonday
Arabic Lesson
Ontheunit
08:00-08:30
08:30-10:30
Coffee Break
08:00-08:30
Arabic lesson
Workplace Violence
Arabic Lesson
11:00-12:00
13:00-16:00
Clinical Skills
Workshop
13:00-16:00
13:00-16:00
Omtheunit
BLSTraining
13:00-16:00
Clinical Skills
Workshop
Arabic lesson
11:00-12:00
Overview of Nursing
Documentation
BLSTraining
Clinical Skills
Workshop
08:30-10:30
Lunch Break
Clinical Skills
Workshop

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NEA Classroom NEA Classroom
Day Sunday
PFP Registration
PFP Registration
PFP Registration
PFP Registration
Mylene/
Kumareswari
Mylene/ Kumareswari Mylene/ Kumareswari
Mylene/
Kumareswari
Nursing Quality
Team
Rashmi Phillips
Adel Bataweel Noime Ilaya Samah Suleiman NEA Nurse Educator
10:30 Coffee Break
Wael Ammar Wael Ammar Wael Ammar Wael Ammar
12:00
Program
Evaluation and
Distribution of
yellow folders
Mylene/
Kumareswari
Lunch Break
Antomicrobial
Resistance
Crash Cart Training
and Code Blue
GNO and KFMC PFP - 4th Week
BLSTraining
13:00-16:00
Wednesday
NEA Classroom
Patient and Family
Education and
Discharge Planning
Arabic lesson
11:00-12:0008:00-08:3008:30-10:30
Skin Integrity and
Wound Care
08:30-10:30
Arabic lesson
Ontheunit
Thursday
NEA Classroom
Monday
Quality
Improvement
DATIX Training
Tuesday
NEA Classroom
07:30-08:00
07:30-08:00
Arabic lesson
13:00-16:00
Clinical Skills
Workshop
13:00-16:00
08:00-09:0009:00-10:00
11:00-12:00
Arabic lesson
11:00-12:00
Clinical Skills
Workshop
Clinical Skills
Workshop
08:30-10:30
11:00-12:00
13:00-16:00
Clinical Skills
Workshop
13:00-16:0008:00-08:30

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GNO and PFP Topics Objectives
 Introduction to Nursing Affairs
 To introduce Executive Administration of Nursing Services and the Nursing Administration team.
 To discuss nursing mission, vision, philosophy
 To present KFMC strategic plan
 To introduce nursing staff structure, wards and unit
 To introduce Executive Administration of Nursing Services and the Nursing Administration team.
 HOPE Nursing Mode l
 To give the background and context of HOPE Nursing model.
 To identify levers for change in Nursing Administration.
 To create awareness about Nursing Practice Model/ Framework.
 To discuss HOPE at KFMC, integrating the 3 components, body, mind, spirit in a culturally sensitive approach.
 Introduction to Nursing Education Administration
 To give an overview about Nursing Education Department and key divisions.
 To discuss the purpose of Nursing Education Department, underpinning the KFMC Nurse Education Strategy
model.
 To discuss the innovative alignment and integration of Nursing and Nursing Education models.
 Preparation for Practice Overview
 To introduce GNO and KFMC PFP, its background and objectives.
 To discuss the program design and components of GNO and KFMC PFP
 To discuss the contents of green folders and requisites to complete the GNO and KFMC PFP.
 Portfolios - distribution & explanation
 To introduce what is portfolio and its uses
 To enumerate the contents of a good portfolio
 To identify the steps in designing a portfolio.
 The Role of the Professional Nurse and Ethics
 To discuss the principles of ethics and professional practice and its relevance to the nursing profession
 To state the KFMC and Gulf Nursing Code of Professional Conduct, and ICN Nurses Code of Ethics.
 To describe the image of a Professional Nurse.

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 To discuss the role of nurses in different health care delivery settings
 Saudi Commission for Health Specialty
 To give an overview about Saudi Commission for Health Specialties and its background
 To introduce professional classification and registration process as per SCFHS standards
 To enumerate the requirements for registration; new registration and re-registration.
 Overview of Nursing Disaster Plan
 To define disaster and discuss the classifications
 To identify the KFMC Emergency (Disaster) Codes and management
 To discuss KFMC Internal Management Plan for disaster.
 To discuss KFMC External Management Plan for disaster.
 Pain Management
 To identify the historical perspective of pain management
 To give definition of pain and different types of pain.
 To discuss nursing objectives, pain assessment and tools
 To define pain management and the barriers to effective Pain management
 To identify the patient outcome in relation to pain management
 Blood Drawing (Phlebotomy)
 To describe in detail the steps for correctly performing a blood drawing including the responsibilities of the
staff in patient positioning and selection of equipment.
 To list and describe the sequential steps to follow in the blood collection process.
 To list important considerations in the blood collection process such as number of sticks, volume collected, and
information to give patient.
 To select correct tubes for sampling.
 Evidence Based PRACTICE (EBP) and Research
 To define Evidence Based Practice
 To describe the steps in the EBP process
 To formulate a clear question – PICO
 To utilize resources to further knowledge of EBP

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 Patient / Family Education & Discharge Planning
 To improve patient health outcomes and promote healthy behaviors
 To involve the patient and family in care and care decisions
 To identify the goals of Patient Education
 To describe the process of Patient Education
 To discuss regulatory impact on Patient Education
 To review documentation process
 To identify PatientFamily Education Resources at KFMC
 Nursing Process and Patient Care Planning
 To discuss the benefits of nursing process.
 To explain each components of the nursing process.
 To explain the components of the nursing diagnostic process.
 To develop a plan of care from a nursing assessment data
 Overview of Nursing Documentation
 To promote standardization of documentation through review documentation specific standards.
 To promote quality patient care and patient satisfaction through quality documentation.
 To train the nurses on documentation standards.
 To describe abbreviations approved for use in the medical record in all KFMC facilities.
 To identify the steps of the nursing process (FOCUS/DARP & ADPIE) and apply it as a competency in delivering
patient care
 Respiratory Therapy
 To define oxygen therapy, its indication, contraindication and monitoring of oxygenation status.
 To enumerate the different equipment required for oxygen therapy, considering the indication and contraindication.
 To emphasize the role of nurses in oxygen therapy
 Skin Integrity Wound Care
 To know about the IPP’s that guide Pressure Ulcer Prevention.
 To understand the basic etiology for Pressure ulcer development.
 Able to do a skin assessment for pressure ulcers.
 To understand the purpose of a Pressure Ulcer Risk Assessment and must demonstrate an ability to use the relevant Risk
assessment tool.
 To demonstrate the ability to do a basic wound assessment and choose an appropriate dressing.

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 Crash Cart Training and Code Blue
 To provide an in-depth demonstration of the use of all the contents and components of the Crash Cart.
 To enable the nurse to use the AED effectively in an emergency.
 To ensure the nurse responds appropriately during a Suspected or Eminent Cardiopulmonary/Respiratory Arrest or in a
Medical Emergency for an Adult or Pediatric Patient.
 To activate a code promptly in accordance with the IPPS of KFMC
 To ensure each nurse knows his/her role in a Code Blue Response
 Pre-Operative Checklist
 To define preoperative care, its’ purpose/goal
 To know that HOPE Model of care is incorporated in preoperative care.
 To understand KFMC Policies and Procedure related to preoperative care.
 To identify preoperative Nursing Assessment & Procedures
 Cultural Diversity
 To develop an awareness of Saudi Arabian societal and religious cultural norms and practices related to health care
 To practice culturally congruent patient and family centered care
 To communicate and work effectively within the diversity of the workplace (e. g. various ethnic origins, genders, and
age groups)
 Quality Improvement
 To provide staff with a basic understanding of Quality at KFMC
 To assist staff to understand trending and analysis of Data
 To share the basic Accreditation principles and IPSG with staff
 To provide staff with a basic understanding of Quality at KFMC
 To assist staff to understand trending and analysis of Data
 Datix
 To introduce the Datix system
 To identify situations that needs reporting and its importance.
 To show the process on how to access the Datix System

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 Infection Control
 To identify the method of infection transmission and preventive measures
 To demonstrate the understanding of correct method of hand hygiene practices
 To demonstrate the understanding of work practices control to protect themselves from exposure to infectious hazardous
materials
 Pharmacy Training/Tour
 To introduce pharmacy department, its locations, and operational hours.
 To enumerate the services offered by the pharmacy department.
 To discuss the different processes related to medication such as prescription, order processing, preparation, dispensing
and administration.
 Nutritional Screening/Clinical Nutrition
 To introduce the Clinical Nutrition Department in KFMC and the client that it caters
 To develop awareness about the CPP and DPP related to Clinical Nutrition Department
 To discuss the roles of nurses in relation to dietary assessment and referral of patients.
 Workforce Management-E3 Lawson
 To explain workforce management, introduce E3 Lawson system and its modules.
 To describe Credential Manager and its application.
 To present Shift maker and how it is being utilized.
 To introduce Central staffer.
 Workplace Violence
 To identify institutional environmental and policy risk factors for workplace violence.
 To recognize behavioral warning signs of violence in individuals.
 To promote employee communication and teamwork skills to prevent and manage violence.
 To identify appropriate resources to support healthcare workers.
 To take steps to implement a comprehensive workplace violence prevention program.
 EMS and Ambulance Services Awareness
 To give brief introduction about EMS, its mission and vision.
 To discuss the structure and services offered by EMS
 To provide information on how to contact EMS and avail ambulance services

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 Arabic Lessons
 To initiate social interaction, ask for basic information and be aware of basic cultural aspect of social interaction in the
Arabic world.
 To communicate with the patients and his family in a warm and relaxed environment is an important feature of our
programs
 To develop staff vocabulary which used in Hospital.
 To encourage staff to progressively increase their use of Arabic outside of class—make brief oral presentations entirely
in Arabic.
 Antimicrobial Resistance
 To discuss the highlights of World Antibiotic Awareness Week
 To explain the Antimicrobial Resistance threat and why should we be concerned
 To identify the global initiatives against AMR
 To discuss what nurses can do in the face of AMR threat
 To recognize the JCI new standard on antibiotic stewardship
Mandatory Training Objectives
Basic Life Support
Provider Course
 To discuss general concepts about the chain of survival
 To demonstrate skills in BLS /CPR basics for adults, children and infants
 To show how to use AED
Manual Handling
Training
 To know the Risk factors in work environment
 To understand the mechanism of possible injuries.
 To be able to perform safe patient handling
Point of Care Testing
 To orient and train staff for establishment of a standard POCT Program using different
learning modalities through:
 Kinesthetic (Learning based, hands on activities)
 Visual (Observation based)
 Auditory (Listening based)
 To impart regulations regarding education, training, and competency
 To value the importance of measuring education outcomes
 To emphasize the trained staff not to blindly rely on result generated by POCT device.
IV Admixture Training
 To enumerate and discuss the medication administration rights in KFMC.
 Identify policies which are related to medication administration

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 To demonstrate the steps in medication preparation and administration as per KFMC
standards.
Medical Equipment
Training
 To identify the common equipment used in hospital; its indication and uses:
 Defibrillator
 Alaris Infusion pump
 Syringe pump
 Dynamap monitor
 To demonstrate the use of the equipment and simple trouble shooting
Program Design
Program Evaluation Methods

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KFMC Preparation for Practice Work Groups
Purpose
The purpose of the Clinical Skills Workgroup is to design skills and simulation laboratory content and identify
facilitators for the workshops. The workshops will be designed and implemented as a partnership between clinical
areas and nursing education department.
Work Group / Membership
Each Hospital and Center will determine the specific work groups needed. There are commonalities among
Hospitals and Centers which should drive the organization of common work groups. Realistically, there may only
be one or very few new hires for a particular unit so when possible units should combine into one workshop. Each
workgroup must give themselves a “name” for future reference (e.g. Cardiovascular Clinical Skills Workshop Work
Group). The members of each work group should comprise clinical experts and NED staff. The members should
select a group leader at the first meeting.
The content of the workshops should address the skills and knowledge specific to the nurses practice area.
New Nurse
Evaluation
Evaluation of Classroom, Clinical Skills
Workshops and Unit Experiences
Clinical Leader
Evaluation
Clinical Leader Evaluation of KFMC
Preparation for Practice
Nurse Educator and Clinical Instructor
Evaluation
Focus ON
1. Threading a holistic patient and family care approach throughout the Work Group design
process.

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Focus ON
2. Linking task, skills, knowledge, and critical thinking to the use of equipment, policies,
procedures, protocols and guidelines, documentation, and multidisciplinary
communications.
Focus ON
3. Embedding evidence–based practice into each session of the workshops.
Focus ON
4. Integrating KFMC and Nursing Affairs mission and values into the content of the
workshops.
Children Hospital Clinical Skills Session /topics
Unit Educator
Team Leader
1. "Day1. Introduction to CSH
2. D2. Pediatric Assessment
3. D3. Aseptic Wound Care
4. D3. Hand Hygiene and Gloving
5. D4. Medication Administration
6. D4. NGT/OGT Insertion & Enteral Feeding
7. D5. Blood and Blood Products Administration
8. D5. TPN Administration
9. D6. Crash Cart Training
10. D6. Defibrillator
11. D7. Peripheral IV Insertion
12. D7. POCT: Urine Dipstick
13. D8. POCT: Glucose Check
14. D8. PEWS & Proper Communication (ISBAR)
 Critical Areas
(NICU, PICD, ED)
 Medical/Surgical
Wards
 Pediatric OPD
 Day Care Unit
 Endoscopy
 Peritoneal Dialysis
Team,
Khaled AlAtrash
Team Member
Clinical Instructor
1. Rania AlKurdi
2. Ali Mfarrij
3. Areej M. Salman
4. Aurora M. Biazon

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Main Hospital Clinical Skills Session /topics
Unit Educator
Team Leader
1. Introduction Session
2. Hand Hygiene & Gloving
3. Vital Signs & Pulse Oximetry
4. Adult Physical Examination
5. POCT- Blood Glucose including the Glucometer.
6. Medication Administration (Oral, Subcutaneous, IV)
including Alaris Machine (infusion and syringe pumps).
7. Pain Assessment & Re- assessment
8. Physical Restraints
9. MEWS/ISBAR
10. Nasopharyngeal Swabbing
11. Aseptic Wound Care
12. PIV
13. Indwelling Catheter Insertion
14. Nasogastric Tube and enteral feeding including Kangaro
feeding machine.
ER , RDU
Med& Surge W
ICU
OPD, BB,
EHD, Endo.
Rashmi Philips
Aileen Cayton
Fadi Shehadeh
Team Member
Clinical Instructor
Rahmah Haron
Raed Khafajeh
Zelbert Virtudazo
Elvis Dyantyi
Zharifa Lipae
Maria Matjila
Rodina Al Malaji
Mayflor T. Josue
Manju Mathew
Saranya Natarajan
Meyyel Gunasundari
Teaching -Learning Methods
 Demonstration,
 PPT,
 Group discussion
 Video
Evaluation Method
 Re-Demonstration
 Competency check-off
 Reflective practice
 Written test
 Vascular Access
Team
5. Janice Penaflorida
6. Manal Salah
7. Michelle E. Parcarey
15. D9. Age-Specific Assessment
16. D9. Restraint Use and Monitoring
17. D10. Pain Assessment/ Re-assessment &Management
18. D10. Indwelling Catheter Insertion, Removal, & Care
19. D11. Care of Patient on Mechanical ventilator
20. D11. Case scenarios related to each area"
 Demonstration,
 Re demonstration,
 Presentations,
 Case Scenario
Evaluation Method
 Feedback
 Competency check-off
 Written Exam
Comprehensive Cancer Center Clinical Skills Session /topics
Unit Educator 1. Reflective Practice /PFP Orientation

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Team Leader
2. Intranet And Website Orientation
3. CCC Tour And Orientation
4. Hand Washing/Hygiene
5. Pediatric Physical Assessment /Pulse Oximetry / Vital
Signs
6. Adult Physical Assessment /Pulse Oximetry / Vital Signs
7. Pain Assessment And Management
8. Wound Care
9. CVC Care
10. Bone Marrow/ Lumber Puncture
11. POCT/ Infusion Pump/ Dinamap/ Pyxis
12. Crash Cart Training
13. Indwelling Catheter Insertion
14. Documentation
15. PIV Insertion
16. MEWS/PEWS/ SBAR
17. Medication Administration
18. TPN
19. NG Insertion And Feeding
20. Ipsgs Awareness
21. Blood And Blood Product Administration
22. Competency Assessment
 Pediatric Oncology
W1
 Ward 2 Male
Hematology
 Ward3 Female
Oncology &
Hematology
 Ward 4 Male
Oncology
 Pediatric Oncology
W3
 Pediatric out
treatment unit
 Adult out treatment
unit
 Radiation Oncology
Daad Salhab
Team Member
Clinical Instructor
1. Bara Hamoudi
2. Omar Abuyahya
3. Revathy Seva
4. Richard Erlandez
 Demonstration
 PPT
 Video
 Scenario discussion
 Role play
 Simulation
Evaluation Method
 competency check-
off
 Written test

21
Women Specialized Hospital Clinical Skills Session /topics
Unit Educator
Team Leader
1. Adult Physical assessment, PIV and abdominal
palpation.
2. POCT,Medication Administration & Breast feeding
3. Pain assessment and reassessment , Restraints, MEWOS
and Obstetrical History
4. Hand Hygiene, Aseptic wound care, Pre and post op
and crash cart.
 ED |& RMU
 LR & ANW
 Gynae & Onco
gynae
 PNW ,PCS &
Nurseryy
Pauleen Jean Tamares
Team Member
Clinical Instructor
1. Molouk Raja
2. Lisymol Raj
 Demonstration
 PPT
 Role play
 Simulation
Evaluation Method
 competency check-off
 Written test

22
King Salman Heart Center Clinical Skills Session /topics
Unit Educator
Team Leader
o Introductory Meeting with KSHC Educator, Clinical
Instructors, HNs, CNs and Assigned Preceptors
o Introduction Clinical Skills Workshops Activities
o Admission Process & Forms
o Nursing Care Planning Chart
o CEWS/PEWS
o I Care Rounding 6 A s
o Catheterization and Care
o KSHC Trip and Unit Visit
o Transferring and Discharging of Patient scenario
o Hand Hygiene and Gloving
o Vital Sign, Pulse Oximeter
o Medication Administration
o POCT and urine deep stick
o PIV, Blood and Blood Products Administration
o N /G Insertion, Enteral Feeding
o Pre & Post Cath Care, OR and check list
o Preparation of Patient for Cardio Thoracic Surgery
o Adult / Pediatric Physical Assessment
o Pain assessment and reassessment
o Chest Tube Insertion, Care and Removal
o Sheath removal
o Nursing care and Removal of: Pacing Wires
o Transvenous Pacemaker
o Crash cart training
o Cardio-version / Defibrillation /TCP
o Aseptic Wound Care
o Restrain monitoring
o CVC insertion, Care and Removal
o Extracting ABGs from Arterial line.
o CBCO
 CCU
 ACCL,CVICU,CW2
 CSW,CTW,ANIL,PNIL,CW1
 PCVICU, PHDU,PCCL,PCW
 Rami ALKhatib
Team Member
Clinical Instructor
1. Mostafa AL-Dhoon
2. Ahmad AL-Sababha
3. CRN from KSHC
(Ashamol George)
 Demonstration
 PPT
 Simulation
Evaluation Method

23
 Written testNational Neuroscience Institute Clinical Skills Session /topics
Unit Educator
Team Leader
1. Adult Physical Assessment
a. Vital Signs
b. Pulse Oximetry
2. Aseptic Techniques:
3. Wound Care
4. Hand Hygiene and Proper gloving
5. Pain Assessment reassessment and Management
6. Physical Restraints
7. Point of Care Testing (Life Scan)
8. Administration of parenteral nutrition
9. Assessment of Level Of Consciousness Using GCS Scale
10. Tracheostomy Care
11. .Assisting With Lumbar Puncture
12. Care of patient with External Ventricular Drain (EVD)
13. Care of patient with Ventriculo-Peritoneal shunt
14. Assisting in Chest Tube Insertion, Removal and Provision of
Nursing Care
15. Assisting in Central Line Insertion, Removal and Provision
of Nursing Care
16. Nursing Care of Patient With Gastrostomy/Jejunostomy Tube.
17. Pre - Operative Care
18. Post - Operative Care
19. Nursing Care of Patient With Seizures
20. NeuroscienceEarly Wamino Score (PEWS/NEWS).
21. Monitoring of Intra Cranial Pressure (ICP)
22. Peripheral Intra Venous Insertion Device
23. Blood And Blood Products Administration
24. Enteral Feeding
25. Indwelling Catheter Insertion, Care and Removal
26. Orogastric/NasogastricTube Insertion
27. Code Stroke
 NCCU, HDU
 Ward , 5, Acute Stroke Unit
Spinal Care Unit
 NSW3 & NSW4
 EMU, PNSW
 Ingrid Annamalay
Team Member
Clinical Instructor
1. Sitti Sampang
2. Emily Rentillo
3. Cristina Sta Maria
 Demonstration
 Self-Learning Package
 Simulation
Evaluation Method
 Written test
Rehabilitation Center Clinical Skills Session /topics
Unit Educator
Team Leader
1. Introduction to Rehab & Role of Rehabilitation Nurse,
Interdisciplinary team, Disability etiquette and cultural &
sensitive communication
2. Introduction to TBI, SCI & stroke, Bowel and bladder
management, AD
3. Physical assessment, vital signs and pulse oximetry
4. Medication, Hand Hygiene and proper gloving
5. POCT, Indwelling catheter, Sterile intermittent catheter
6. Aseptic wound care, Tracheostomy care
7. Pain assessment & Reassessment, Physical Restraints, Age
specific assessment
8. Rehab Equipment and scales
9. Scenarios
10. Competencies
 Rehab Ward
1,2,3,4,6
 OPD
Karen Sharon D. Harper
Team Member
Clinical Instructor
 Anitha P Ruby
 Hazel Villarosa
 Teaching -Learning Methods
 Demonstration
 PPT
 Role play
 Simulation
Evaluation Method
 Written test
 Verbal testing

24
Required Core Content for Each Skills Workshops
This assessment content is required for all Skills Workshops in addition to selected equipment and procedures.
Appropriate to Practice Area
1. Conducting a holistic patient and family assessment
2. Pain management and pain scales
3. The use of documentation (linked to equipment/procedures)
4. Medication exams (specific for the medications administered)
5. Glasgow Coma Scale
6. Patient and Family Multidisciplinary Teaching
7. Patient Care Planning
8. Discharge Planning
9. Fall Risk Assessment
10. Deep Vein Thrombus (DVT)
Title of Workshop:
Leader of Workshop:
Contact Information for Workshop Leader: Pager #:
Mobile #:

25
Instructions
List documentation forms required for the workshop and associated with the equipment and procedures
conducted in this workshop.
Documentation Forms
1.
2.
3.
Clinical Skills Workshops Scenario Form
Title of Workshop:
Leader of Workshop:
Contact Information for Workshop Leader: Pager #:
Mobile #:
Instructions
1.Create scenarios that include holistic care, values, critical thinking, documentation, and multidisciplinary communication that can be
used in the skills lab for the various equipment and procedures.
2.The scenario will be given to the Skills/Simulation Lab Coordinator for retention and distribution to the Skills Lab Session Leader
and participants.
Scenario:

26
Equipment Needed:
Documentation Needed:
Competency Check-off List for Clinical Skills Days
Work Groups for KFMC Preparation for Practice
Clinical Skills Day Work Group Name:
Hospital/Center Name List Units/Areas included for
this list of competencies
Contact person:
Information / Instruction
1. In your Work Group, please check the ‘Generic Competencies’ that ONLY apply to your practice area and that need to
be ‘finished within 30 days’ of hire/within the GNO/KFMC Preparation for Practice time period.
2. Next, please record the list of competency check-offs that are specific to your unit or area that need to be finished
within the 30 days of hire/within the GNO/KFMC Preparation for Practice time period.
3. Those competencies that need to be ‘finished before 70 days’ please list these and check the boxes labeled 31-70 days.
4. Those competencies that can be finished after the 70 days or after the 90 day probationary period, please list these and
check the ‘beyond 70 days’ boxes.
5. If you use 2 pages, please ensure they are stapled together.

27
List of Generic Competencies Within 30 days
of hire
31-70 days of hire Beyond 70
days
1.
2.
3.
4.
5.
6.
List of Unit/Area-Specific Competencies Within 30 days
of hire
31-70 days of hire Beyond 70
days
1.
2.
3.
4.
Comments
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
__________________________________________________________________________________________________
Clinical Skills Work Shop Summary
Hospital/Center: _____________________________ Clinical Practice Area: ______________________
Learner Name (PRINT): ________________________________ Position: __________ I.D. #___________
Instructions
1 The Learner Records Their Name On All Pages.
2 Please Record N/A In The ‘Completed’ Column If The Particular Skills/Activity Is Not Required For The Practice Area.
3 Unit/Clinic Specific Competencies Can Vary From One Practice Area To Another; Ensure That The Correct
Competencies Are Completed.
4 In The ‘Completed’ Column Record A Check Mark  When The Activity/Skill Is Completed And Then Date And Sign.
5 If There Are Performance Areas Needing Improvement Place A Check  In The ‘Action Plan’ Box And Initiate A
Professional Development Plan.
6 The Learner Will Retain This Document Until All Activities/Skills Have Been Completed.
7 At The End Of The KFMC Preparation For Practice, The Clinical Skills Workshops Facilitator Will Collect This Form
And Submit It To The Head Nurse Along With The Other Assessment Tools.

28
8 Once All Signatures Are Present On The Last Page, The Document Is Placed In The Unit/Clinic Employee File. The
Learner Is Given A Copy Of The Clinical Skills Summary For Their Professional Portfolio.
MANDATORY EDUCATION
GENERIC COMPETENCIES
EQUIPMENT TRAINING
Title Completed Action
Plan
Date Assessor/Preceptor ID# And
Signature
1 General Staff Orientation
2 General Nursing Orientation
3 Basic Life Support
4 Medication Administration Exam
5 Fire & Safety (Exam & Practical)
6 Infection Control
7 Pyxis Training
8 Corttex Training
9 Manual Handling
# Title Clinical Skills
Workshop Practice
'Met' On
Unit
Action
Plan
Date/
Time
Assessor/ Preceptor
ID# & Signature
1.
2.
3.
4.
5.

29
UNIT/CLINIC SPECIFIC COMPETENCIES
SCENARIOS COMPLETED
Assessor Feedback To Leaner
_____________________________________________________________________________________________________
___________________________________________________________________________________________________
Assessor Name (Print) ______________________________
Title Clinical Skills
Workshop
Practice
'Met On
Unit
Action
Plan
Date/
Time
Assessor/Preceptor ID#
And Signature
1.
2.
3.
4.
Workshop Practice
'Met' On
Unit
Action
Plan
Date/
Time
And Signature
1.
2.
3.
Workshop Practice
'Met' Action
Plan
Date/
Time
And Signature
1
2
4
5
6

30
Assessor Signature: _____________________________ID:___________Date:_____________
Learner Comments
_______________________________________________________________________________________
____________________________________________________________________________________________________
Learner Name (Print) ________________________________
Learner Signature: ________________________________ID:____________Date:_____________
HEAD NURSE COMMENTS
____________________________________________________________________________________________________
__________________________________________________________________________________________________
Head Nurse Name (Print) ____________________________
Head Nurse Signature: ____________________________ID:____________Date:_____________
Checklist of Evaluation Tools Given to HN
Instructions/Information
1. At the end of the GNO/KFMC Preparation for Practice the following list of evaluations/assessments will be given to the
HN by the ‘Lead Educator’ of the Clinical Skills Workshops.
2. The Clinical Skills Workshop ‘Lead Educators’ will place all evaluation/assessment documents into a yellow folder
containing the nurse’s name and unit/clinic name and Head Nurse name.
3. At the end of the KFMC Preparation for Practice, the Clinical Skills Workshop ‘Lead Educators’ will distribute the yellow
folder to the Head Nurses.
4. The ‘Lead Educator’ will retain this form with the HN/CN signature for NED records.
5. The Head Nurses should make copies of the appropriate evaluation/assessment forms for the new nurses to place in their
portfolios.
Including:
1. Medication Exam Certificate
2. Self-Assessment Checklist

31
3. Basic Life Support Provider Card and Certificate copy
4. Clinical Skills Summary Mandatory Education
5. Generic Competencies, Procedures, Unit/Clinic Specific Competencies, Equipment Training,
Scenarios Completed
6. Clinically-based Scenarios & accompanying documentation
a. Nurses Notes
b. Care Plan
c. Discharge Plan
d. Intake and Output Record
e. Flow Sheets
f. Other documentation appropriate to the unit/clinic/ward
7. Professional Nursing Portfolio pages (handed out in GNO)
8. Reflective Practice Journaling pages (handed out at each Clinical Skills Workshops
GNO AND PPF
MANAGEMENT PROCESS

32
GNO and PFP Flow Chart
• Develop GNO and PFP program
• Prepare GNO and PFP Green Folder
Prepare GNO and PFP Yearly Calendar and confirm the
venues
Start Registration Process
Confirm Participants from Nursing
Services
 Notify and confirm with the EDON and
NED Directors
 Notify and confirm with the speakers
 Finalize GNO and PFP program
 Prepare the attendance sheet
 Inform NED educators
 Request the refreshments

Start Registration Process
Confirm Participants from Nursing
Services
Announcement
Facilitate the program based on the action
plan
Prepare and submit GNO and PFP Report

33
GNO and KFMC PFP Action Plan
Action Plan Before Starting The Program
# Action Time Frame Responsibility Note Related
document
1 Identify the number of GNO
participants
1-2 weeks before
the end of
current/latest
session of
GNO
GNO and KFMC
PFP Coordinator
 Coordinate wth Ms.
Josephine Mayaco.
 Proceed w/ new
session if total # of
paticipants is 10 and
above (as per policy)
 policy
 GNO schedule
2016
 GSO schedule
2016
2 Prepare the GNO and KFMC
PFP program /schedule
2 weeks prior to
the target date
of session
GNO and KFMC
PFP Coordinator
needs at least 10
participants
 GNO and PFP
summary of
lectures
trainings
 GNO program
schedule
sample
3
 Reserve the Audio Visual
Dept. for venue
 Reserve the FOM venue
(if ECR not available)
After schedule
is made
Simultaneous
with FOM room
booking
 Secretary Irene&
Robert
 GNO and KFMC
PFP Coordinator
coordinate with Mr.
Arnais Basiril
for FOM venue
 printing
request-AV
 booking
request
4 Request for refreshments once schedule is
confirmed
GNO and KFMC
PFP Coordinator
email executive
Secretary
Based on
nursing
Budget
5 Notify the speakers 10 days prior the
program
GNO and KFMC
PFP Coordinator
GNO speakers
directory
NED directory
6 Book Skills Lab for
Mandatory Training
7 days prior the
program
NED Skill Lab
Coordinator
(Moayad)
 Mr Jalal, Ext #
17496
 Mr Mohammed Ext
# 17586

34
Action Plan Before Starting The Program
document
7 Send the final list of GNO
participants to all NED
Staff
once program +
venue is
finalized
GNO and KFMC
PFP Coordinator
HR coordinator will
send the final list of
nurses who will join
GNO.
8 Prepare the GNO and KFMC
PFP (green folder)
4-7 days prior the
program
GNO and KFMC
PFP Coordinator
coordinate with the AV
for printing of forms
green folder
contents
9 Prepare BLS booklets 4 days prior the
program
GNO and KFMC
PFP
Coordinator
Based on the total of
participants
Requested from
LSTC
10 Prepare/ print the attendance
sheet
3 days prior the
program
GNO and KFMC
PFP Coordinator
Final list is from HR weekly
attendance
sheet
11 Remind the speakers 2 days prior the
scheduled
program
GNO and KFMC
PFP Coordinator
12 Update the KFMC PFP
PowerPoint presentation
2 days prior the
program
GNO and KFMC
PFP Coordinator
GNO
presentations
Action Plan During the GNO and KFMC PFP
document
13 Facilitate the schedule of
lecture/programs
accordingly
time of lecture as
scheduled each
day
GNO and KFMC
PFP Coordinator
refer to program
schedule
GNO and PFP
list of
presentations
14 Distribute the PFP files 1st day of GNO GNO and KFMC
PFP Coordinator
15 Let participants sign the
Attendance sheet
starting from 1st
day until last
day of GNO
and KFMC
PFP
GNO and KFMC
PFP Coordinator
Correct any
discrepancy in
names and any
detail in the
attendance sheet
weekly
attendance
sheet

35
16 Present the introduction of
PFP PowerPoint presentation
1st day OF GNO GNO and KFMC
PFP Coordinator
17 Distribute the BLS Books 1st day OF GNO GNO and KFMC
PFP Coordinator
prioritize according to
batch
number/schedule of
BLS session
18 Let participants fill the Self-
assessment checklist for
Generic Skills
1st day OF GNO GNO and KFMC
PFP Coordinator
19 KFMC Tour 2nd day OF GNO GNO and KFMC
PFP
Coordinator
show the main facilities
At KFMC to GNO
attendees
20 Remind the CI and NE about
the 1st day of clinical Skill
Training and tell them to
meet their staff before.
1st day of clinical
skill training
after lunch
Break
GNO and KFMC
PFP Coordinator
21 Prepare marker pins and
Flipchart for medication
review presentation
1 day prior to
Medication
review schedule.
GNO and KFMC
PFP Coordinator
Action Plan During the GNO and KFMC PFP
document
22 Prepare the attendance sheet
for Skills Training and
notify the coordinator and
instructors
3rd day of GNO GNO and KFMC
PFP Coordinator
skills
TRAINING
attendance
sheet
23 Prepare the medication sets
for the Medication Exam
PFP Coordinator
There are 140 sets
prepared inside the
medication cabinet
24 Prepare the answer sheet and
staple it with 2 scratch
paper
PFP Coordinator
there are 2 different
answer sheet A& B
answer sheet
25 Correct the medication Exam
and prepare the results.
after the
medication
Exam
GNO and KFMC
PFP Coordinator
Send the results to
NEA DON ; cc Wael,
Robert, Irene. And All
NED educators
summary
medication
exam 2017

36
26 Prepare and print the GNO
and KFMC PFP
certificate + Medication
exam certificate
2 days before the
last day of
PFP
NED Secretary
Irene, Robert
certificates
template
 printing
process
27 Prepare the yellow folders 2 days before the
last day of
PFP
NED Secretary
Irene, Robert
yellow folder
28 Filing the answer sheets in
Medication Examination
2016 folder
once the
corrections are
finished
GNO and KFMC
PFP Coordinator
29 Wrap up and final Evaluation last day of PFP GNO and KFMC
PFP Coordinator
collect the evaluation
sheet
evaluation form
Action Plan after the GNO and KFMC PFP
Document
30 Review and analyze the
evaluation forms
1st week after the
PFP
GNO and KFMC
PFP Coordinator
send to Mr. Wael GNO evaluation
form 2017
31 Prepare the GNO and PFP
Report
1st week after the
PFP
GNO and KFMC
PFP Coordinator
send to Mr. Wael program
evaluation
reports
32 Filing of all the GNO and
PFP Documents
1st week after the
PFP
GNO and KFMC
PFP Coordinator
summary of
GNO
attendees

37
GNO and KFMC PFP Capacity Plan for 2017
Admin
Work
GNO PFP PFP PFP
Admin
Work
PFP PFP GNO PFP
Admin
Work
GNO PFP PFP PFP
Admin
Work
PFP PFP GNO
Group A
Admin
Work
GNO PFP PFP PFP
PFP
Group B
Group C
Group D
Group E
GNO PFP PFP PFP
Group A
Group B
Group C
Group D
Group E
Admin
Work
GNO PFP PFP
Admin
Work
GNO PFP PFP
Admin
Work
GNO PFP PFP PFP
Admin
Work
GNO PFP PFP
Admin
Work
PFP
PFP
PFP
Admin
Work
GNO PFP PFP PFP
Group A
Group B Admin
Work GNO PFP PFP PFPClinical skills
training
Admin
Work GNO PFP PFP PFPClinical skills trainingGroup C
Admin
Work
GNO PFP PFP PFPClinical skills trainingGroup D
Admin
Work
GNO PFP PFP PFPClinical skills trainingGroup E
Essential requirements / Plan A
The new comers will join the GNO and PFP in
case of every 2 weeks will arrive new comers they
can join in the middle of the program and they will
fetch the missing topics with the next one.
We need large Room for 150 staff
Essential requirements/ Plan B
Two sessions will be conducted at the same
time to cover the new comers every 2 weeks
• Room *2 with 80 capacity
• Availability of lecturer every 2 weeks
Essential requirements/ Plan C
If new comers arrived during the GNO and PFP they will
go to the unit and the CIs will start skills training with them
 1 Room with 80 capacity
 Priority work all CIs (all hospitals and
centers)will be on PFP boarding

38
GNO AND PPF
DOCUMENTS

39

40

41

42

43

44

45

46

47
Professional Nursing Portfolio

48

49

50

51
GNO AND PPF
DIRECTORY

52

53

54

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