VANDERBILT PROFESSIONAL NURSING PRACTICE PROGRAM Interview Questions for Level 3 and 4 LPN and RN Candidates

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1 CANDIDATE NAME: WORK AREA: APPLYING FOR: RN3 RN4 LPN3 LPN4 Interview questions are based on the Pillar Goals of the Clinical Enterprise. These goals are represented below. Pillars Goal We nurture a caring, culturally sensitive, and professional atmosphere as we continuously invest in the individual and collective aspirations of our people Collegiality is a central characteristic of our culture and defines how we serve our patients, those we teach, and the local and worldwide community We relentlessly pursue and measure ourselves against the highest quality performance in all areas, from patient care to scholarship We invest our resources in a manner that supports our long term obligation to society, to achieve local, national and worldwide impact in improving health We seek excellence and leadership as we advance our systems of care, educational practices, and our commitment to discovery Page 1

2 PEOPLE PILLAR Problem solving Communication Collaboration 1. We are all obligated to find a solution to any problem that affects our patients clinical care. In doing this, we have all experienced a difference of opinion. Describe the situation and exactly how you handled it. How have you shared your resolution process/results with others? Serves as a role model & resource in managing complex patient or system problems Manages differences of opinion independently and directly (3 4) Appropriate time, manner, and place Ensures privacy and deals directly and keeps within need to know group only Controls emotions, does not escalate and cools down fist, if necessary Listens to understand other s point of view/ position Clarifies problem collaboratively Clearly defines problem from all perspectives before problem solving Honest/uses data. Differentiates differences of opinion from conflict Tries to understand own and other s reasons for their position. Does not just quote policy, but explains why Explores options for finding common ground collaborative Restates and confirms agreements Follows up to ensure resolution If going up chain of command, tell person of plan to do so Facilitates problem resolution (3 4) Leads others in problem solving projects and mentors conflict resolution (4) Page 2

3 SERVICE PILLAR Planning/Managing Care Continuum of Care Planning Patient/Family Education 2. Tell us about a complex or challenging patient/case or family situation. What did you do or direct another to do to significantly impact the patent's outcome? Incorporates patient/family education and/or use of non customary resources that demonstrates and in depth knowledge and is area specific. Not all practices use the same common resources. Provides leadership in complex clinical (3 4) or operational (4) situations Consults on clinical problems Initiates consult(s) for anticipated problems (3 4) Proactively manages care to avoid adverse outcomes beyond what a competent nurse would do (3 4) Identifies barriers to learning Language/communication barriers (other than foreign language barriers) Education barrier (cannot read/write, slow learner, distracted by pain) Location barrier (homeless, distance from resources) Psychological barrier Emotional or cultural barriers Role models and is a resource to others for comprehensive patient, family, or colleague teaching Consults and leads team in developing, evaluating, or revising patient or family education materials Identifies need for and develops or revises materials (collaboratively). Considers possible application to or impact on other areas and collaborates with and/or shares when appropriate Plans from an in depth knowledge of disease and recovery processes OR Nurses demonstrate knowledge of patient history and use information in implementation of intra operative care Model (3) / Mentors (4) others For example: Level 3 acts as a resource and coaches when asked Level 4 initiates coaching/mentoring others to facilitate COC planning Page 3

4 QUALITY PILLAR Planning/Managing Care Continuous Learning 3. Evidence based practice must be continually verified and updated. Tell us about the most recent research you have applied that either verified or challenged your practice. What did you do with the new information? How has it affected the quality improvement process in your area? Sources might be research article, rounds, seminars, conferences, benchmarking, etc (source citation required) Shares new research information in practice area and is a resource to others (3) Demonstrates awareness of research underway in PCC (3 4) Applies research findings to guide, validate, and/or change own practice (3) Takes lead in implementation of a practice change based on research findings (4) Uses information to initiate and follow through for practice area Considers if practice change is applicable beyond area and shares when appropriate Uses data to evaluate changes initiated or lead Page 4

5 GROWTH & FINANCE PILLAR Planning/Managing Care 4. To ensure the success of VUMC, it is the responsibility of every employee to participate in identifying opportunities to reduce costs. Describe what you have done to ensure or improve cost effectiveness (or cost/case) in your area (beyond what is expected of everyone). Monitors and adjusts resource utilization for individual patients. Identifies problem/need and participates (3) or leads (4) the change process (Usually a unit or an area wide measure rather than for an individual patient) Uses data to evaluate results of lead or initiated changes and considers if appropriate to share with other areas (4) Evaluates products or supplies for cost effectiveness (4) NOT ACCEPTABLE: All nurses should be removing extra supplies from patient rooms, decreasing lab draws, and flexing staff off and on for census/acuity (when in charge) Page 5

6 INNOVATION PILLAR Problem Solving Communication & Collaboration 5. Think about an outcome in your area where your leadership made a difference. What specifically did you do to influence that outcome? What evidence did you use to support your actions? Participates (3) or Leads (4) in development or revision of standards Models and acts as a resource to others for effective communication/collaboration (3) Precepts nursing students and house staff (3) Mentors others in effective communication/collaboration (4) Mentors new preceptors (4) Acts to resolve actual and potential systems, knowledge, and behavior issues (3 4) Page 6