Authors (including presenting author) :
Lai PY (1), Sham SFR (1), Leung PSM (2), Leung BL (2)
Affiliation :
(1) Accident and Emergency Department (AED), Princess Margaret Hospital (PMH); (2) AED, North Lantau Hospital (NLTH)
Introduction :
PMH is tertiary center for KWC which provides 24-hour territory-wide emergency services and specialty care. PMH is also a major trauma Centre and Infectious Disease Centre. The nursing staff in PMH AED has vast experience on handling complicated and critically ill patients. On the other hand, NLTH is a new smart hospital which is a pioneer of the using the smart technology in emergency service. However, it does not have full range of comprehensive specialties in hospital service yet. In sight of the limitations in service coverage, some patients in NLTH have to be transferred to PMH. Hence the nursing staff in NLTH has more experience and knowledge on transport medicine and nursing. Based on the different characteristics of both AEDs, the rotational program for AED nurses has developed to enhance the professional development and ensure patients receive continuum of high quality care
Objectives :
1. To enhance the learning and sharing of clinical knowledge, leadership and experience among nursing staff in PMH and NLTH. 2. To enhance staff clinical competency by experiencing different clinical situations and setting. 3. To enhance communication and collaboration between PMH and NLTH.
Methodology :
A 6-12 months’ rotational exchange program for Advanced Practice Nurse (APN) and 5 months’ rotational program for Registered Nurse (RN) were devolved. The exchanged nurses were supervised and guided to learn and practice in the exchange hospitals. Their performance was continuously monitored. At the end of the program, they were requested to submit the reflective journals and return to parent hospitals.
Result & Outcome :
The rotational programs have been conducted for 5 years. There were total 16 participants which included 10 APNs and 6 RNs from both AEDs. The feedbacks from the management and nursing staff were very positive and encouraging. The network, communication and collaboration among nursing staff are greatly enhanced. Participants expressed that they were consolidated the techniques in coordination of team approach and situational management. NLTH nursing staff accumulated experience and beaconed in variety of areas such as nursing practices, collaboration with multi-disciplinary, emergency preparedness. Whilst PMH nursing staff broadened the horizons in the aids of smart technologies and the concise in inter-hospital transfer. The participants also developed their leadership roles and share their experience with others when they return to parent hospitals. The rotational programs provided exposure opportunities to strengthen nurses’ competencies and leadership. It fostered staff partnership, which enhanced the communication and collaboration between two AEDs emergency service.
