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September 2004

Ideas in Action  Early Clinical Scheduling Helps Pediatric Hospital

"When can we get in our clinical instruction?"

This question is part of a yearly headache for many nursing program coordinators—finding where and when their nursing students can get that essential hands-on experience they need to enter into the profession. Waiting until the last minute may be the problem, but Mt. Washington Pediatric in Baltimore has a surprisingly simple solution.

"We schedule all of our pediatric clinical training for the year over the summer and we're done," said Barbara Scharf, M.S.N., M.P.H., R.N., Director of Education & Nursing Research at Mt. Washington.

Scharf says that being proactive is the key to accommodating everyone.

"We send out a letter in May or June to all of the Maryland nursing schools requesting that they put in their clinical requests for the entire year. We then take all of these requests at once, fit them all together, and make a calendar," said Scharf, emphasizing that many factors are taken into account. "We can't have duplicate schools on the same floors at the same time, we utilize weekdays and weekends, and we squeeze everyone in - at least for some of the time they want," she said.

Offering a multitude of rehabilitation and complex medical services for infants and children, the 102-bed Mt. Washington has eight schools of nursing and 180 students doing their pediatric clinical rotations at the facility. With 2 patient care areas (in Baltimore and in Cheverly), and with advanced planning, Scharf says the hospital can be flexible when it needs to be.

"Our hospital philosophy is that we want to accept any nursing school we possibly can and try to fit in all of the schools," she said.

The extra clinical instruction serves as a recruitment tool. The more students trained at Mt. Washington, the more they get to know the place and want to work there after graduation, said Scharf.

In addition to helping the hospital, the advanced scheduling is designed to benefit Maryland nursing programs, many of which have to turn students away for lack of faculty and clinical sites.

As a result of the hospital's program, two degree tracks at the Community College of Baltimore County - L.P.N. and R.N. - were able to increase their enrollment because the hospital had more time to schedule their pediatric clinical. Simple planning measures like Mt. Washington's may become part of a larger solution to alleviate a statewide nursing shortage and Scharf hopes that other hospitals will jump on board.

"We've always taken a proactive approach by asking colleges to put in their clinical times early, and it's helped us," she said, noting that other hospitals tend to wait until they receive requests to schedule their clinical instruction, allowing for a barrage of frantic phone calls at the beginning of the semester.

For the present, Mt. Washington employees welcome as many clinical students as they can. "Constant clinical instruction is very time consuming," said Scharf, "but here we are really committed to students. Our nursing staff are excellent and very welcoming, so the students get to see a lot."

Editor's Note: At an Aug. 3 meeting hosted by the Maryland Hospital Association, hospital and nursing school representatives from across the state began to develop strategies to assure that student nurses have access to clinical practice sites. The group came up with several recommendations including creating a regionalized approach to clinical placements. A summary of the group's recommendations has been distributed to MHA member hospitals for future implementation.

Contact:
Barbara Scharf, M.S.N., M.P.H., R.N.
Director of Education & Nursing Research
Mt. Washington Pediatric Hospital

Phone: (410) 578-5020
E-mail: bscharf@mwph.org

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