USA Integration

Our program enables overseas nurses to be integrated smoothly into the US healthcare setting and mainstream US culture. The arose from personal experiences,sometimes traumatic, of fellow Overseas nurses as they embarked on a new country and unchartered territory as a new clinician in the American healthcare setting. And from research and common observations among US hospital/nurse administrators on the lack of clinical preparation among Overseas nurses, notwithstanding their limited experience in advance assessment and critical thinking skills, thus requiring longer orientation and adjustment periods.

On the US healthcare setting, the training / orientation covers case presentations, demonstrations, lectures and hands-on clinical skills training on BCLS. clinical assessment. patient safety, documentation, and advance clinic topics comparable to those given to US nurses. Acculturate also offers non-clinical modules such as assertiveness training, conflict resolution and delegation skills, typically taught in a lecture format followed by intense role-playing.

Since the nurses will be spending most of their time outside of the hospitals (i.e., neighborhood, shopping center, recreation center, church, bank) we also orient them on cultural sensitivity and diversity, and personality development.

After training with us, the Overseas nurse is transformed to a clinically competent, confident, and a well rounded person, much like a cocoon becoming a vibrant butterfly ready to do its mission.

Features

1. Didactic presentation
2. Skills lab

Benefits

• Shorter nursing unit and hospital orientation time;
• Smoother adaptation into the U.S. healthcare setting;
• Build newer clinical skills and competence faster;
• Promote patient-centered rather than skills-focused nurse;
• Increased satisfaction into the new role; and
• Ready to perform as a competent nurse in the American healthcare setting.

Schedule

• Skills Lab accommodates 20 - 30 trainees per class

Methodology

• Interactive lecture
• Return demonstration
• Documentation
• Role playing
• Test taking
• Group discussion
• Video presentation
• Multimedia presentation
• Case Presentation
• Online presentation

Clinical Topics

Title	Brief Description
1. Basic ECG	Quick and easy introduction to ECG, focusing on the rate, rhythm, and relationship of the tracings.
2. Hemodynamic Monitoring	Reprise of the 101 ways to monitor patient's response to treatment
3. BCLS and AED training	American Heart Association's CPR and Chain of Command. Introduction to proper use of AED's
4. Advance Clinical Assessment	Revisit clinical assessment using inspection, palpation, percussion and auscultation, and other ways to assess patient's S/S and needs.
5. US Standard Documentation	American standard of documentation with emphasis on JCACO, Medicare and legal requirements
6. Pain Management	Patient advocacy in the proper assessment of pain and management.
7. Wound Management	Show and tell, or demonstration of the many ways to dress a clean or sterile wound.
8. Code Blue	Mock code conducted after review of the basics and the role of the nurses.
9. Medication Errors	The focus on the basics of preventing medication errors, drug and dose calculations.
10. Pre and Post-op Care	Reprise of the role of the nurse in the pre-operative area as well as following surgery. Patient teaching.
11. Body Mechanics	Back to basics. Taught by physical therapist, the focus is on proper use of the body mechanics by the nurse.
12. 2007 JCAHO Patient Safety Guide	Following JCAHO Standards of Patient Safety, focus is on nursing management and documentation. Falls risk assessment. Medication error and more.
13. Maintenance of skin integrity	Goal is for intact skin, and many ways to protect from brakedown. Braden score.
14. Care of Ostomy and other Discharge Appliances	Stoma care, colostomies, leg bags, crutches and walkers to name a few that the nurse will teach a patient prior to being sent home.
15. Phlebotomy	Skills training on accessing the vein for infusion; use of new and protective needles.
16. Infusion Therapy	Discussion of the different infusion therapies such as blood transfusion , PCA,TPN and more. Use of IV pumps
17. IV Line Management	Care of both peripheral and central line. SHow and tell - PICC line, Groshong, Hickman, Port-a-Cath etc.
18. HIV and AIDS	Update on the HIV transmission, universal isolation and patient teachings.
19. Universal Precaution	Revisit hand washing, gowning, masking use of needle boxes, clean up after spills and many more.

Cultural Topics

Title	Brief Description
1. Cultural Competence in Nursing	Review of the nurse responsibilities in designing a cultural competent care plan.
2. Diversity on the Workplace	Discussion based on mutual respect and the contribution of every staff in the organization.

Professional Topics

Title	Brief Description
1. Working in America	Sharp comparison of the practice difference between the Overseas and USA; advance assessment, autonomy, decision making and critical thinking skills.
2. Speaking with Physicians	Presents the nurse with many ways to compose thoughts, structure and build confidence.
3. Working as a Team	Presents the benefits of teamwork in healthcare delivery.
4. Patient Bill of Rights	Presentation of the patient's rights as a healthcare consumer. A must for overseas nurses.
5. Nurse Practice Act	Highlights what is new and different compared to the Philippine Nurse Law.
6. Patient Advocacy	A skill every nurse must po0ssess - good communication., understanding of the patient's rights, safety, and many many more.

Personal Development Topics

Title	Brief Description
1. Assertiveness Training	Overseas as a culture is less assertive,this workshop focuses on building the self-confidence of the nurse to understand their right as well as the right of others.
2. Conflict Resolution	Presents the nurse with many ways to compose thoughts, structure and build confidence.
3. Basic Communication	Communication 101 - Basic English, vocabulary, respect, clarity, articulation and more.
4. Delegation and Negotiation	Emphasis is for the nurse to act as the coordinator of care delegating tasks to non-nursing personnel and negotiating solutions towards effective delivery of care.
5. Living in America	Focus on adopting and adjusting to a new culture - culture, social etiquette, safety of the individual and family, networking with Overseas professional organizations like the Philippine Nurses Association of America.
6. Budgeting and Cost of Living	Money talk - all about how savings, banking, balancing checkbooks, paying debts on time and more.

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