Canadian Neurological Scale: Training for Trainers Workshop Implementing the CNS in Your Organizatio

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Canadian Neurological Scale Training for
Trainers WorkshopImplementing the CNS in Your
Organization
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Thanks

• The Heart and Stroke Foundation of Ontario
  gratefully acknowledges the contribution of
  Rhonda McNicoll, R.N., BSc.N., CNN(c), Hamilton
  Health Sciences, in the development of this
  presentation.

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Implementing the CNS in Your Organization

• There are several common steps for development of
  policies, procedures and forms used within
  organizations
• Identifying the need
• Develop the document and plan the implementation
• Consult with stakeholders
• Obtain approval signatures for approval
• Implement and evaluate
• It is important that you determine the process
  within your organization and follow those steps

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Identifying the Need

• Consult with department/committee in charge of
  policy and procedure development to identify that
  you would like to implement the CNS within your
  organization and determine your next steps
• Review guidelines for developing policy and
  procedures in your organization

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Develop the Document Plan Implementation

• Form a project working group of stakeholders to
  discuss development and plan for implementation.
  Members should be affected by the change and
  willing to champion the change process.
• Adapt templates for CNS policy, procedure and
  record provided in CNS Teaching Package to meet
  policy, procedure and health records guidelines,
  and the clinical needs of your organization.
• Develop an implementation plan for communication,
  education, implementation and evaluation of the
  document.
• Identify potential issues and strategies for
  resolution.

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Consult with Stakeholders Obtain Approval
Signatures

• Forward draft procedure and record with necessary
  documentation to stakeholders and relevant
  committees asking for review and feedback within
  specified timeframe
• Review feedback and revise documents as required
• Review and confirm final document and approval
  signatures required with Policy and Procedure
  Committee
• Obtain approval signatures
• Forward form for approval by Policy and Procedure
  Committee and Health Records Committee

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Implement the Document Evaluate

• Involve key educators and champions from units
  who are implementing the CNS and encourage their
  attendance at a CNS Training for Trainers
  Workshop to develop expertise
• Develop and implement an educational training
  plan for front line staff to meet the needs of
  the unit using resources provided in training
  workshop
• Suggestions for training modalities
• 2 hour workshop (see agenda) plus practice
  clinically
• OR
• Self directed learning package and review video
• THEN
• Return demonstration of skills clinically with an
  preceptor/educator

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Suggested Training Workshop for Front Line Staff

• 2 hour workshop
• 15 minutes Welcome and Meeting Objectives
• 45 minutes The Canadian Neurological Scale What,
  Why, When and How
• 15 minutes Practice with a Partner Review of
  Scoring Process
• 45 minutes Patient Assessment Simulations and
  Wrap up

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Implement the Document Evaluate cont

• Develop a documentation audit form for CNS Tool
  and/or observation record to ensure guidelines
  for use are followed and appropriate action is
  taken when CNS scale decreases during
  implementation period and ongoing
• Build in some reliability testing using trained
  experts such as educators, expert trained staff
  to ensure reliability of assessment during
  implementation period and ongoing
• Consider annual review or demonstration of
  competency of assessment