Daily Shift Share Program
12221 N Mopac Expy, Austin, TX 78758
(512) 901-1000
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Table of Contents
Topic Page number Keeping you in the know – Message from Sheila Fata 3
Welcome 4
To Do List 4
Clocking In 4
Pyxis Access 4
Meditech 5
Meditech Assistance Hotline 5
Orientation 5
Introduction to the Unit Worksheet 6
Employee Parking 7
Map of Facility 8
Department/Floor Locations Grid 9-10
Important Navigational Tips 10
Customer Service 11
Nursing Contact List 11
Non-Nursing Contact Lists 12-13
Employee Business Center 13
Cafeteria Hours 13
Additional Tools/Just in Time Resources 14
Reassignment of Nurses – Donna Wright 15
Learning on the Fly 15
Marketing Yourself in a Positive Way 15
Understanding Crisis Management Options 16
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Keeping YOU in the KNOW-Nursing Updates
From day one, senior leadership has addressed the pandemic with two clear objectives.
To protect our nursing staff - keep them safe and employed. To protect the company - ensure its viability from a financial standpoint, so we can
continue to serve our communities for years to come.
As we reboot our operations, our mission remains constant. At the same time, we must be
nimble and adapt to the changed needs of our community. A key priority is to shift our nurses
from facilities with low census and demand to facilities with a high census.
On May 25, 2020, a division/market staffing process was initiated. This process occurs twice
daily and includes:
A virtual meeting with facility house supervisors that is chaired by the division leader A review of each facilities staffing per department A reassignment of nursing staff based on need and census. Staff will be notified of any
necessary assignment changes by the facility house supervisor before your shift Reassignments will occur between facilities within your market
We know that being asked to work in a facility other than your home facility is uncomfortable for
many. Please know that we have made this decision so that we may continue to provide
exceptional care to our patients, meet the changing needs of our community, and keep our
nursing staff employed.
This booklet is designed to give you some basic information about our hospitals to help ease
your transition.
Thank you for all that you do and have done for our patients!
Sheila Fata, MBA, BSN, RN, NEA-BC
Division Chief Nurse Executive
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Welcome to our Facility!
Cynthia Nicholas, MSN, RN,
NEA-BC
CNO St. David’s North Austin
Medical Center and St. David’s
Surgical Hospital
12221 N Mopac Expy, Austin, TX 78758
(512) 901-1000
“To Do List” for RNs Upon Arrival:
1. Park and proceed to your assigned unit
2. Ask for the Charge Nurse and introduce yourself
3. Discuss your competencies with the Charge Nurse
4. Ask who your “resource buddy” will be for the shift
5. Ask where to safely store your belongings
6. Ask for quick tour of the unit and use the tool on page 5 to guide you
Clocking In
Ask your receiving Charge Nurse for the Kronos Log sheet so you can enter your hours.
If you are familiar with Kronos ETE, you can also log your hours that way.
Pyxis Access
You will need temporary access granted from the unit you have been assigned to.
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Meditech
Your Meditech Access should be available and working for you at your newly assigned
facility.
Meditech Assistance Hotline
Should you need charting assistance in Meditech, please call 1-800-737-8661 x1333 or
954-514-1333 and select option 2 to contact an experienced Meditech instructor.
Hours:
Weekdays: 8 AM – 5 PM EST
Orientation
Introductions are crucial to team success. Each individual brings with them certain
competencies and skills. In the introduction, each member should discuss what skills
they can assist with throughout the shift. Charge nurses should discuss the care needs
for patients within the unit and determine how the work can be divided up to ensure
each patient receives the best care utilizing everyone’s talents on the team. During your
orientation to the unit you have been assigned, the Charge Nurse will review
environment of care, which will include the safety features of the unit. Please use the
table on the following page to guide your conversation with the Charge Nurse so you
can rapidly become familiar with your new surroundings.
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Introduction to the Unit
Introduction Unit/Dept. Specific Safety Key Equipment
Co-Workers Time clock location Fire Extinguishers & Fire Pull Locations
Computer workstations
Identify Skills/Competencies
Employee lockers Code Button Crash Cart
Types of Patients to be cared for
Employee restrooms Nurse Call System POCT Equipment
Location of important phone numbers
Linen and Supply Rooms
Medical Gas Shut Off Location
Defibrillator
Huddle/Assignment location
Medication Room Evacuation Plan and Supplies
Malignant Hyperthermia Cart
Supervisor/Manager (Office)
Soiled Utility Stairwell Exits Rapid Intubation Cart
Patient Transport Elevators
Tube System Bed Alarms/Operation
Chest Cart
Nurse Station
Respiratory Workroom Safe Lifting equipment
Pumps (IV, Epidural, Enteral Feeding, PCA)
Copy/Printer Room
Breakroom Restraint Location Bladder Scanner
Blood Bank
Hydration Stations PPE Donning and Doffing
Vital Signs Monitoring Equipment
Documentation
Negative Pressure Room
Patient Transport (Tele certified)
O2 set up and Tanks (Pulse Ox)
Patient Rounding
Assist with ADL Doppler
Hygiene Care
Suctioning Hypo/Hyperthermia Blanket
Scales for Patient Weight
Catheter Insertion Sequential Compression Device
Specimen Collection Suction Set-up
Post-mortem Care
i-mobile
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Employee Parking – North Austin Medical Center
Blue circle – physician parking; Green circle – patient parking; Red circle – employee parking
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Map of Facility
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North Austin Medical Center Department by Floors
Department Description Floor Location
3W Infusion 3 West wing
4N OP Infusion 4 North wing
Administration 4 West wing
Ambulatory Care 1 North wing
Antepartum 2 Women's Center of Texas
Cafeteria Ground Atrium
Cardio Services 1 Near main elevators
Case Management 4 West wing
Diabetes Education 3 West wing
Emergency Services 1 North entrance
Endoscopy Ground Near main elevators
Engineering Ground West wing
Environmental Services Ground West wing
Fetal Testing Center 1 Women's Center of Texas
House Supervisor 4 West wing
Human Resources Ground Atrium
ICU 1 East wing
Imaging Services 1 North wing
IMC 3 South wing
Infection Control 4 Near main elevators
Inpatient Rehab Ground East wing
Labor and Delivery 2 Women's Center of Texas
Laboratory 1 Near main elevators
Med Surg 3 East 3 East wing
Med Surg 3 North 3 North wing
Med Surg 3 South 3 South wing
Med Surg 4 North 4 North wing
Med/Surg 4 East 4 East wing
Medical Staff Services 4 West wing
NICU Level III 2 Near main elevators
Occupational Therapy MOB Building - 12201 Renfert Way; 3rd Floor
Suite 360
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Department Description Floor Location
Outpatient Imaging Center
1 South wing
PACU 1 East wing
Patient Registration 1 West wing
PBX Ground East wing (inside security)
Pediatrics ED 1 South entrance
Pediatrics ICU 1 South wing
Pediatrics Med Surg 1 South wing
Pharmacy Ground Near main elevators
Physical Therapy MOB Building - 12201 Renfert Way; 3rd Floor Suite 360
Post Partum 2 Near main elevators
Quality 4 West wing
Renal Transplant MOB Building - 12201 Renfert Way; 3rd Floor near elevators
Respiratory Care 1 South wing
Risk Management 4 West wing
Security Ground East wing
Speech Therapy MOB Building - 12201 Renfert Way; 3rd Floor Suite 360
Sterile Processing Ground East wing
Surgery 1 Near main elevators
US-WMNS 1 Women's Center of Texas
Volunteers 3 West wing
Wound Care 1 South wing
Important Navigational Tips
Austin Diagnostic Clinic (ADC) – ADC clinics are scattered throughout the facility.
Elevators – we have two set of elevators. Main elevators are facing towards the atrium (center of the hospital) and glass elevators located on the south and north wing.
Ground Floor & 1st Floor o Ground Floor – access to east entrance o 1st Floor – access to south, west, and north entrance
Women’s Center of TX – separate building next to St. David’s North Austin Medical Center (NAMC) near east entrance. The sky bridge connects the two
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buildings—employees of Women’s Center of Texas only have access to sky bridge.
Customer Service
An extremely important part of our culture is customer service. Please take time to assist visitors to their destination or direct them to the 1st floor North entrance, where the Volunteers can assist.
St. David’s North Austin Medical Center – Nursing Contact List
House Supervisor 917-5086
NAMC Security x2666
NAMC Emergency x2222
Area Leader Name Leader Title Office
Case Management Deborah Walters Director 901-2534
Sarah Yanchak Manager 901-6494
Critical Care
Suz Hindelang Director 901-2350
Lola Mahoney Manager 3South & IMC 901-2203
Keisa Williams Manager ICU 901-2325
Emergency Services
Kim Barker Director 901-1166
Mark Stagman Manager Adult ER 901-2106
Jenn Beltran Manager FreeStanding ER 901-1120
Labor & Delivery
Angelica Gideon Director 901-2907
Tammy Phares Manager 901-1636
Kare Wales Manager 901-2158
Medical Surgical Units
Jonelle Jonas Director 901-6118
Paula Smith Manager 3 East 901-2368
Bobbi Mordecai Manager 3 North 901-2344
Marcia Francis Manager 4 East 901-6402
Blanca Cannaday Manager 4 North 901-2424
NICU Amy Irons Director 901-2908
Della Feehan Manager 901-6172
Pediatrics
Bess Searles Director 901-1919
Kami Stone Manager Peds ED 901-1911
Mikka Magee Manager PICU & Peds MedSurg 901-1916
Postpartum
Juli Butler Director 901-2177
Lorrie Collins Manager 901-2713
Judy Hellmann Manager 901-2700
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St. David’s North Austin Medical Center – Non-Nursing Contact List
House Supervisor
512-917-5086
NAMC Security x2666
NAMC Emergency x2222
Area Leader Name Leader Title Office
Engineering
Matt McKenzie Director 901-2661
Pat Kovar Manager 901-6883
EVS Marvin Ramey Director 901-6223
Brandon Randolph Manager 901-6395
Food & Nutrition Services
Karen English Director 901-2813
Deb Hughes Manager 901-6989
Andrea Ahern Manager Clinical Nutrition 901-2816
Imaging Services
Joe Lopez Director 901-1320
Siris Evans Manager Imaging 901-6639
Barbara Nogales
Manager Outpatient Imaging 901-4396
Tonna Hollins Manager Ultrasound & MFM 901-1390
Laboratory Services Lisa Whittaker Director 901-1202
Donna Rollins Manager 901-1203
Pharmacy Rusty Pendley Director 901-1414
Leslie Getchell Manager 901-1413
Quality
Mary Markovich Director 901-2513
Tina Noeth Manager 901-2536
Rehab Services & Wound Care
Crystal Milan Director 901-1855
Valerie Johnson Manager Inpatient Rehab 901-1823
Paula Pajak Manager Rehab 901-6496
Lisa Moore Manager Wound Care 901-1750
Respiratory
Susie Lane Director 901-1818
Bryan Hall Manager Adult RRT 901-1805
Anna Obidos Manager NICU & Peds RRT 901-6734
Cardiology Services & Endo
Jayne King Director 901-1327
Dana Anderson Manager 901-6713
Perioperative Services
Lacie Hanberry Director 901-2008
Kesha Brown Manager Ambulatory 901-2070
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Debra Preyer Manager PACU 901-2007
Jacob Sanchez
Manager Sterile Processing 901-2022
Rachel Fling Manager Surgery 901-2013
Transplant
Lauren Rutledge Director 901-2896
Eunice Elliott Manager 901-2882
Employee Business Center
Ground floor across from the Cafeteria
7:30am – 4:30pm (badge access required outside of these times)
Cafeteria Hours:
Cafeteria Monday-Friday 6:45 a.m.-6:45 p.m.
Saturday/Sunday 8:30 a.m.-2:00 p.m. Bistro
Monday-Sunday 7 a.m.-10 p.m.
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Additional Tools and Information
Just In Time Resources
We want to refresh you on the resources you have available for just in time learning.
We have access to resources that include information and guidance to help provide
excellent care. If you cannot locate a resource please ask, we are here to help you!
ONLINE REFERENCES
Resource Name Description Location
Atlas HCA corporate intranet-HCA
initiatives and documents
SDH intranet>Atlas Connect
CE Direct Free access to continuing education
and certification review courses
SDH intranet>Clinical Tools; internet access available
Clinical Pharmacology Drug reference, including medication interactions, compatibility, etc.
SDH intranet>Medical Resources
EBSCO Clinical Research Clinical research database-to
access specific articles or journals
SDH intranet>Medical Resources; internet access available
E-Demand Repository for facility/SDH forms
(consents, specific patient instructions, etc.)
SDH intranet>Admin Tools
HealthStream
SDH/HCA Learning Management System- repository for most
mandatory and elective learning; HealthStream Competency
Center: electronic orientation and annual competency assessment for
all staff, as well as annual evaluations; HealthStream CE
Center: free access to continuing education and certification review
courses
SDH intranet>Admin Tools; internet access available
Dynamic Health SDH procedure manual,
includes instructions, checklists and references
SDH intranet>Medical Resources
Policytech Electronic file for SDH policies SDH intranet>Policies
Institute for Learning (IFL) Course Registration-for any
course offered through the IFL
SDH intranet>Institute for Learning; internet access available
www.stdavids- institute.com
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Reassignment of Nurses – Based on Donna Wright Model
When nurses are floated from one nursing unit to another, the issue of competency
arises. We ask quite frankly, does this nurse have the skills, knowledge and abilities to
function in this capacity? Experiencing a surge of patients can make it difficult to cross-
train or put nurses through a complete orientation. How can we facilitate a successful
floating process? According to Donna Wright, when asking nurses that float and those
that receive float nurses, there are three themes that consistently are heard and are
actually competencies for the nurse that is reassigned to another care area. These
include:
Learning on the Fly
Marketing yourself in a positive way
Understanding crisis management options
Learning on the Fly
Learning on the fly competency has two parts to it. First, I need to know what I do not
know and be able to speak up about it. The second essential aspect of learning on the
fly includes:
I am not sure about this procedure….I am going to look it up.
I am going to ask someone how to do this.
I will use the resources that are available to guide my actions.
Obviously, this is not going to work for every procedure and task that we do, but many
times learning on the fly skill is used successfully. To demonstrate learning on the fly,
imagine a nurse is floated to a medical-surgical floor that provides dialysis. The nurse
has never worked in dialysis before and does not know how to do dialysis. The charge
nurse may ask an experienced nurse to setup the dialysis and point out the basic things
to watch for when monitoring a patient on dialysis. The charge nurse can buddy up the
inexperienced nurse with another professional to ask further questions to support the
patient’s care. The most important thing is to propose ways to be useful while remaining
open to learning new things.
Marketing Yourself in a Positive Way
As a Registered Nurse you have lot of knowledge, skill and experience that you can
bring to any situation. Also as RNs, we need to market ourselves a little better and let
those we are working with understand what skills and experience we can bring to the
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team. Sometimes we may say, I was told to come here, I have never worked here
before, I am not familiar or comfortable with working in this area or specialty, and I do
not know how to do any of those things.
When you are reassigned to another nursing unit, we recommend that you make these
two statements to the team or the charge nurse:
My name is ________ I am floating to your unit for this shift. I am here to help
you out.
I have the following skills that I can offer to you today, and you can see how they
may fit into what is needed. I can do ___________, and so on.
When nurses have the ability to market themselves positively, the results and the shift
experiences are much better. The success of the shift and the reassignment
experience do not lie in the clinical skills, but instead in the “can-do” attitude the person
brings.
Understanding Crisis Management Options
Most of the time when a nurse is reassigned to another area, that area is under stress,
stretched, or moving into crisis mode because they do not have enough staff to meet
the needs. They need help to function, so they reach out for support. The nurse being
reassigned can provide care and/or service assistance to help the team get the routine
work done, but can also offer something else: a fresh perspective or insight that he
group may have trouble seeing.
The skill of understanding crisis management options can work in any area, not just in
nursing. The team is able to change the normal workflow temporarily to match the crisis
situation and still produce the desired results.
This is an excerpt from Donna Wright’s, Competency Assessment Field Guide for
Implementation and Application, 2015, Creative Healthcare Management. Prior to
COVID-19, HCA Healthcare began to transition to the Donna Wright Competency
Assessment Model. We will resume the implementation later in 2020.
Additions/Edits to this booklet? Please send email to [email protected]