Geriatric Nurse Certification - Log into your Online Media...

Geriatric Nurse Certification

Heidi Keeler, PhD, RN

University of Nebraska Medical Center

Welcome!

Sponsors Provider

AHCA American Health Care Association

NCAL National Center for Assisted Living

UNMCUniversity of Nebraska Medical Center

College of Nursing

Gero PrepOnline certification training


Jennifer Shimer

COO, AHCA/NCAL

Introduction:Timely New Member Benefit

Smart Preparation for Challenges Ahead

Sponsors Provider




College of Nursing



Glenn Van Ekeren

President, Vetter Health Services

An Owner/Operator’s First-Hand Perspective

Sponsors Provider




College of Nursing



Mary Cramer, PhD, RN, APHN-BCUniversity of Nebraska Medical Center

Urgent Gero Training Need vs. Soaring Gero Care Demand:

Triple-Win Outcomes of Regional Pilot Project

Sponsors Provider




College of Nursing


Sponsors Provider




College of Nursing

Robert Wood Johnson Foundation: Partners Investing in Nursing’s Future

PIN Midwest Geriatric Nursing Quality Improvement

� Principal Investigator: Mary E. Cramer, PhD, RN,

UNMC College of Nursing

� Funded by Robert Wood Johnson Foundation &

Northwest Health Foundation with Vetter

Foundation

�Vetter Health Services President: Glenn Van Ekeren

Sponsors Provider




College of Nursing

Robert Wood Johnson Foundation: Partners Investing in Nursing’s Future

• Vetter Foundation & UNMC College of Nursing

• $500,000 (2009 – 2011)

• 15 Regional Partners Representing 60 LTC Facilities

• One of Ten National Awards

• National Demonstration Project for Long Term Care

Sponsors Provider




College of Nursing

Grant Purpose•LTC Administrators

Reduce RN turnover

Improve quality of nursing care

•LTC Registered Nurses

Enhance clinical competence & job satisfaction

•LTC Patients and Families

Improve care outcomes & family satisfaction

Sponsors Provider




College of Nursing

Long Term Care: THE PERFECT STORM

Sponsors Provider




College of Nursing

Aging of America

Sponsors Provider




College of Nursing

Demand for Quality• BETTER EDUCATED

• MORE FINANCIAL

RESOURCES

• ACCUSTOMED TO HIGH

STANDARDS OF CARE

Sponsors Provider




College of Nursing

Nursing Shortage

Sponsors Provider




College of Nursing

What Does Research Tell You About RNs & Quality Care?

• Direct Link Between RN

Staffing/Education & Patient

Outcomes

– Prevention of adverse events

(i.e., falls, decubiti, infections)

– Lower readmission rates

– Early recognition & correction

of life-threatening events

– Reduced mortality

Sponsors Provider




College of Nursing

Your Challenges

Data Reveals an Urgent Need

to Invest in RN Care

• Highest RN Turnover Rates

• Highest RN Vacancy Rates

– Perceived image of low

opportunity &

advancement

Sponsors Provider




College of Nursing

Nurse Workforce Challenges

RNs are Underprepared for

Geriatric Nursing Care

• < 25% of BSNs

• < 5% of ADNs

• < 1% of all RNs are

specialty certified in

geriatric nursing

Sponsors Provider




College of Nursing

Project Focus

� 10 Week Online Education Course

� Innovative Teaching Strategies to Engage RN Learners

� Evidence-based Practice Content

� Leadership Content

� National Board Certification as Gerontological Nurse (RN-BC) by American Nurses Credentialing Center (ANCC)

� Marketing Value

Sponsors Provider




College of Nursing

National Board Certification

• ANCC – Gold Standard of

Excellence

• “Investment in people who

provide care”

• Research Based

Sponsors Provider




College of Nursing

Our Research Findings

Sponsors Provider




College of Nursing

Course Satisfaction

94.4%

Sponsors Provider




College of Nursing

ANCC Pass Rate

96%

Sponsors Provider




College of Nursing

Improved Knowledge & Skills in Geriatric Nursing

• Statistically Significant Increases (p < .0001) in ALL areas:– Communication– Pain management– Physiological & psychological age

changes– Skin integrity management– Functional status enhancement– Proper use of restraints– Discharge planning– Recognition & intervention for

elder abuse

Findings based on the Hartford Geriatric Clinical Competence Scale

Sponsors Provider




College of Nursing

Improved Decision Making, Satisfaction & Empowerment

• Statistically Significant

(p < .0001) Improvement In:

– Confidence in ability to do the job

– Self-assuredness about capability to perform well

– Mastery of skills needed for job

– Autonomy in how to do the job

– Decision making ability

– Impact of nursing unit

– Enhanced opportunity to do the job

Findings based on the Psychological Empowerment Scale

Sponsors Provider




College of Nursing

Improved RN Retention

• Higher “intent to remain”

• Higher Job Satisfaction

– Translation

• Lower replacement &

administrative costs

• Uninterrupted care continuity

Sponsors Provider




College of Nursing

“What has been the best experience of the course?”

• “Becoming current in geriatric training”

• “I’m proud to become certified”

• “Gaining a better understanding of the

major physiological systems”

• “Discovering references, resources &

support networks that will be useful in

clinical practice”

• “Increasing my knowledge & skills”

• “My sense of accomplishment”

Sponsors Provider




College of Nursing

“How will you use your ANCC Specialty Certification?”

• Share my knowledge with co-workers & staff

• Mentor our new nurses & CNAs

• Improve my communication with other staff

• Enhance my critical thinking ability

• Incorporate evidence based practices into our

facility’s care

• Enhance my staff education

• Improve the quality of patient care at my facility

• Helps make my work & others’ more meaningful

Sponsors Provider




College of Nursing


Catherine Bevil, EdD, RN

Director of Continuing Nursing Education

University of Nebraska Medical Center

10 Module Prep Course Overview:Professional Development, Skills Takeaway,

Practice Impact

Sponsors Provider




College of Nursing


Sponsors Provider




College of Nursing

UNMC CON CNEUniversity of Nebraska Medical Center College of Nursing Continuing Nursing Education

• Housed within an

Academic Medical Center

• National Accreditation as

a Provider by ANCC

• National Reach

• Distance Delivery Pioneer

• Multiple PartnersUNMC Center for Nursing Sciences

Sponsors Provider




College of Nursing

Course Content

• Dual Aims:

– Latest knowledge, skills

& competencies in

geriatric practice

– Success on ANCC

Certification Exam –

Gerontological Nursing

(RN-BC)Image obtained from Google Images

Sponsors Provider




College of Nursing

Module Topics

1. RN roles – leader, manager, communicator, collaborator – in LTC nursing

2. Wellness, aging, using evidence-based decision making

3. Psychosocial assessment, management (i.e., elder abuse, substance abuse, etc)

4. Cardiovascular, respiratory, immune system problems

5. Pain; aging & medication management, lab values/findings

Sponsors Provider




College of Nursing

Module Topics

6. Safety in light of changing mobility, vision, hearing

7. Integumentary system (i.e., aging skin, nails, hair, etc); pressure sores; sleep & rest

8. Nutrition, digestion, elimination

9. End of life care;

10.Managing cognitive-emotional changes (delirium, dementia, depression)

Sponsors Provider




College of Nursing

Customized Delivery to RNs

• Diversity

– Educational

– Experiential

– Tech skills

• Busy Life Styles

Sponsors Provider




College of Nursing

Delivery Strategies

• Web Based

– Any time

– Any where

• Chunked

– Self select topics

– Self select depth & detail

Sponsors Provider




College of Nursing

Delivery Strategies

• Learner Centered – Beginning & Ending with the RN

• Variable

• Active

• Practice Applications

• Feedback, Feedback, Feedback

Sponsors Provider




College of Nursing

Other Key Features

• Textbook

• Tests & Test Taking

• Application for Certification

• Evaluation –Outcomes & QI

Sponsors Provider




College of Nursing

What Can Facility Administrators Do?

• SIGN UP!• Select RNs

• Support RNs for Certification Exam

• Formal Recognition from AHCA/NCAL & UNMC CON

www.geronurseprep.org

Sponsors Provider




College of Nursing

Sponsors Provider




College of Nursing

What Will RNs Do?

• Enroll & Receive Textbook

• Complete 10 Modules, Prep for

Certification, Final Exam

• Earn 30 ANCC CE Contact Hours

• Take ANCC Certification Exam

• Notify UNMC & Receive

Personalized Recognition

Sponsors Provider




College of Nursing

ANCC Eligibility Criteria for Certification

RNs need to meet the following eligibility criteria:

• Hold a current, active license within a state or territory of the United States or the professional, legally recognized equivalent in another country

• Have practiced the equivalent of two years full-time as a registered nurse

• Have a minimum of 2,000 hours of clinical practice in gerontological nursing within the last three years

• Have completed 30 hours of continuing education in gerontological nursing within the last three years

Sponsors Provider




College of Nursing

Recertification Requirements (as of 2014)

• When: 5 years post certification

• Practice Hours: 1,000 hours in geriatrics over past 5 years

• Continuing Education: more details on next slide

• Retesting: Not required if above condition are met

• Cost: $350 (ANA non-member); $200 (ANA member); $280 (NGNA member)

For specifics go to:

http://www.nursecredentialing.org/Certification/NurseSpecialties/Gerontological.aspx

Sponsors Provider




College of Nursing

Recertification Requirements: Continuing Education

• Continuing Education: 150 hours (15 CEUs) over past 5 years– Average of 30 hours per year

– 50% of hours can be non-accredited, related to staff development at work, etc

– 50% of hours must be accredited by an approved organization (ANCC, many others)

– 51% must directly relate to geriatric nursing

– 49% may indirectly relate to geriatrics, geriatric roles

– Live, web-based, and other CE formats allowed

Sponsors Provider




College of Nursing

Role of State Affiliates

• Partner with AHCA/NCAL

• Disseminate Information

about Gero Prep

• Facilitate Sign Up for Gero

Prep through Web Site


Sponsors Provider




College of Nursing

Gero Prep Pricing StructureDiscounted Packages to AHCA Members if Registered by December 31, 2011

• Course Price: $400

• Textbook: $90

• Total: $490

Basic Packages to AHCA Members, Effective January 1, 2012

• Course Price: $600

• Textbook: $90

• Total: $690

Sponsors Provider




College of Nursing

Gero Prep Package Price Rates

• Register for Up to 3 Packages: Full package price

• Register for 4-10 Packages: 2% Discount on course, plus cost of all textbooks

• Register for 11-20 Packages: 5% Discount on course, plus cost of all textbooks

Sponsors Provider




College of Nursing

Investment in Staff vs. Cost of Doing Nothing

Gero Prep Course Price

(Including ANCC Certification Exam Fee)

Course: $400

Textbook: $90

ANCC Certification Exam Fee: $395 (non-ANA member price)

Total Investment:

$885

Cost of Replacing One RN who Resigns

+Search Firm Fee

+Internal HR Time/Costs

+Employee Benefits

+Delay: Care Continuity Suffers

Sponsors Provider




College of Nursing

www.ahca.org(Quality Improvements Tab)

[email protected]


For More Information:

To Sign Up RNs:

Geriatric Nurse CertificationQuestions & Answers

Sponsors Provider




College of Nursing

Gero Prep Online certification training

Heidi

Keeler

Jennifer

Shimer

Glenn

Van Ekeren

Mary

Cramer

Catherine

Bevil

Date post:	09-Jul-2018
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