Recruitment and Retention 247

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Recruitment and Retention 24/7

• Dr. Karen Crites Hendrickson, RN, CNAA, BC
• Vice President/Chief Nursing Officer
• Southeast Missouri Hospital
• Cape Girardeau, Missouri, USA

www.southeastmissourihospital.com
23 March 2007
A Call to Action Ensuring Global Human Resources
for Health International Health Workforce
Conference Geneva, Switzerland
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Southeast Missouri Hospital
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Location
Cape Girardeau, Missouri, USA
U
Southeast Hospital established in 1928
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Southeast Missouri HospitalCape Girardeau,
Missouri, USA

• Not-for-profit community owned
• Regional hub between St. Louis, Missouri -
  Memphis, Tennessee
• 269 beds
• Serves 20 counties in Missouri
• Employs 2000 people
• 200 physicians
• 500 nurses

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Southeast Missouri HospitalCape Girardeau,
Missouri, USA

• 1 of 3 hospitals in Missouri offering the robotic
  daVinci Surgical System
• 1 of 2 hospitals in Missouri with Novalis
  Shaped Beam Surgery for Cancer Treatment
• Magnet Recognition by the American Nurses
  Credentialing Center for Excellence in Nursing
• 2006 Missouri Team Quality Award Recipient
• Centers of Excellence include Heart Surgery,
  Brain Surgery, Cancer Care and Maternal-Child
  Services

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Nationally Recognized forExcellence in Nursing
Services

• Magnet Recognition
• American Nurses Credentialing Center
• Initial recognition 2004 and continues
• No. 124 designated out of 6000 hospitals
• Only community hospital in Missouri

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Creating a Positive Healthcare Environment

• Recruitment and retention of nurses takes
  constant, multi-focused vigilance
• A shortage of nurses cannot be overcome overnight
• You must grow your own
• You must create your own future

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Growing your own

• Southeast Missouri Hospital College of Nursing
• and Health Sciences. Est. 1990.
• Associate Degree of Applied Science in Nursing
• 360 graduates
• 100 pass rate on state licensing
  examination 2006

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Growing your own
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Nursing At Southeast Missouri Hospital

• 500 Nurses
• An educated nursing workforce provides the best
  care
• and is most professionally fulfilled.
• 46 AA
• 5 Diploma
• 45 Bachelors
• 4 Masters
• .05 Doctorate
• 30 ANCC certified in their specialty
  practice

Vacancy rate 3 (national average 12) Use of
supplemental staffing agencies 0
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Southeast Missouri Hospital Initiatives

• A culture that welcomes new nurses
• Employee assistance/nurse counselor
• Friendly attitude

A professional environment with an investment in
growth of the nurse
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Southeast Missouri Hospital Initiatives (contd)

• Mentors, preceptors, ambassadors
• Loans w/ forgiveness
• Sign on bonuses

A professional environment with an investment in
growth of the nurse
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Southeast Missouri Hospital Initiatives (contd)

• Experiential learning opportunities
• Continuing In-service Education
• Best Practices Seminar

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Southeast Missouri Hospital Initiatives (contd)

• Encouragement of persons to become Nurses

Nursing Camp
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Southeast Missouri Hospital Initiatives (contd)

• Commitment to enhancing
• communication

• Communication has been ranked as the leading
  reason for tragic events in hospitals across the
  U.S. Over 70 percent of all sentinel events have
  been found to involve lack of communication.
• (Stamp, 2006)

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Southeast Missouri Hospital Initiatives (contd)
Rounding is Important
The best care is provided when the physician,
nurse, and the patient are together at the same
time.
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Educational Initiatives (2006)

• Travel and staff development 150,000
• Professional seminars on site 67,000

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Educational Development (2006)

• 15,000 per student loan with forgiveness
• Any employee or person enrolled in Southeast
  
• Missouri Hospital College of Nursing
  Health
• Sciences
• Educational loans 1.5 million
• Encourage participation in professional
  organizations
• Encourage research and publication

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Academic Affiliations

• Southeast Missouri State University
• BSN
• MSN

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Nursing at Southeast Missouri Hospital

• The environment
• Benefits (15,000 per employee)
• Competitive salary
• Sign-on bonus flexible scheduling
• Medical dental insurance
• Life insurance
• Medical spending account
• Dependent care spending account
• Annual Salary Graduate Nurse with AA degree
  16/hour

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Nursing at Southeast Missouri Hospital

• Retirement Plan
• Pharmacy Discount
• Shift Differential
• Education loan loan purchase
• Certification exam loans
• Annual health screening

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Supportive Environment

• Spirit of Southeast Awards and Recognition
• James W. Wente, President/CEO
• Southeast Missouri Hospital
• Joy Frey, BSN, RN, CRRN
• Nurse Manager

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Annual Celebration of Nursing
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Self Service Technologies

• Library on site
• Internet access to periodicals and other
  references for all nurses
• Micromedex for drug information
• Meditech computerized documentation
• PACS setup in Radiology
• Picture Archive and Communication System
  available on nursing units

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Extern ProgramExperiential learning for senior
nursing students

• Student nurses who have completed the
  fundamentals of nursing
• Work under the direction of an RN
• Learn to utilize the nursing process
• Rotate through various departments
• Annual cost 350,000 (2006)

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Residency ProgramExperiential Learning for
Registered Nurses

• Graduate nurses or RNs seeking more experience
• Sheltered mentorship
• Didactic and clinical education
• Departmental rotations
• Annual cost 150,000 (2006)

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We Invest in the Community Around Us

• - Maternal-Child Center Fund Raiser
• - Zimmer Institute/Orthopedics
• Bringing Education to the Community

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We Invest in the Community Around Us

• - Elementary school donates toys to Pediatrics
• - Jackson High School B.E.S.T. Program

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We Invest in the Community Around Us

• Community Service
• Enhances the image of nursing
• Shows the importance of networking and building
  relationships

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We Invest in the Community Around Us
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Recognizing Excellence

• Sigma Theta Tau International Honor Society
• of Nursing, Lambda Theta Chapter

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Nurse Economics

• Average replacement cost
• Medical/surgical nurse 42,000
• Specialty RN 64,000
• (Drenkard Swartwout, 2005)
• Average agency cost
• Per nurse 135,200/year
• (NSI Nursing Solutions,
  Inc., 2006)

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International Experiences Teach Nurses to Think
Globally
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International Experiences Teach Nurses to Think
Globally
Our collaborative experiences include travel
to

• Australia
• Germany
• Jamaica
• Africa

• China
• The Netherlands
• England
• France

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References

• Stamp, B. (2006). The healing art of
  communication. Atlanta, GA James and Brookfield
  Publishers.
• Drenkard, K. Swartwout, E. (2005).
  Effectiveness of a clinical ladder program.
  Journal of Nursing Administration, 35, 502-506.
• NSI Nursing Solutions, Inc. (2006). Retrieved
• January 29, from www.nsinursingsolutions.com.

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Presentation created by James LeBine jlebine_at_sehos
p.org