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The report addresses the lack of peer-reviewed guidance for transitioning from general hospital orientation to specialized unit orientation and for enabling seamless communication of assessment outcomes to leadership. It outlines redesigned orientation elements using simulation and electronic medical record charting, then details report card development with Benner novice-to-expert self-identification and planned instructor scoring.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/hand-off-report-card-for-nursing-orientation-linda-hargreaves/253629/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/hand-off-report-card-for-nursing-orientation-linda-hargreaves/253629.png","ImageObject",442,249,{"name":88,"@type":89},"Dipper","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-23","2026-09-13",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",6,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What learning objectives does this report focus on?","Question",{"text":109,"@type":110},"It targets evaluating experienced nurses via simulation, using the report card from nursing orientation, and scoring scenarios with the Sweeney-Clark Clinical Simulation Performance Rubric.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"Why is a hand-off report card important for nursing orientation transitions?",{"text":114,"@type":110},"The document highlights limited peer-reviewed literature on moving from general hospital orientation to unit orientation and notes no existing model for sharing performance assessment outcomes seamlessly with leadership.",{"name":116,"@type":107,"acceptedAnswer":117},"How are nurses categorized for orientation based on the Benner model?",{"text":118,"@type":110},"It defines levels from Novice to Expert and describes expected knowledge, assessment behaviors, recognition of deterioration, analysis, and contextual judgment at each stage.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},253629,1791379361,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":136,"language":137,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":61,"update_tm":141,"read_time":142},1374404997633,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Hand-off Report Card for Nursing Orientation  \nLinda Hargreaves PCNS-BC Acute Surgical Services Clinical Nurse Specialist Lucile Packard Children’s Hospital  \nLearning Objectives  \n Identify at least one strategy to evaluate experienced nurses performance in simulation  \n Learn the use of the Report Card from Nursing Orientation  \n Score a scenario with the Sweeney-Clark’s Clinical Simulation Performance Rubric  \nBackground and Significance  \n There is a paucity of peer-reviewed literature describing the transition from general hospital nursing orientation to specific unit orientation.  \n No model for seamless communication of nursing performance assessment from general to unit orientation exists to aid the leadership team in its appraisal of recently hired nurses.  \n Failing to hand off pertinent information can result in a lack of knowledge of significant data or relevant actions that have occurred  \nMethods  \n First – redesigned our Nursing Department Orientation to include  \n􀀐 Simulation  \n􀀐 Electronic medical record charting » Chart with simulation  \n» Review all aspects of charting in debriefing  \nNursing Orientation  \n\n| Week 1 40 hours | Monday 8 hours | Tuesday 8 hours | Wednesday 8 hours | Thursday 8 hours | Friday 8 hours |\n| --- | --- | --- | --- | --- | --- |\n|  | Hospital Orientation | Electronic Medical Record Functionality | Homework and Healthstream | Day in Life of Nurse\u003Cbr>Lecture and group discussion | Simulation Training\u003Cbr>Day 1 |\n|  |  |  |  |  |  |\n|  |  |  |  |  |  |\n| Week 3\u003Cbr>40 hours | Monday\u003Cbr>12 hours | Tuesday\u003Cbr>4 hours | Wednesday\u003Cbr>8 hours | Thursday\u003Cbr>8 hours | Friday\u003Cbr>8 hours |\n|  | Work on Unit | Homework for Week 3 | Interdisciplinary Day | Day in Life of Nurse\u003Cbr>Lecture and group discussion | Simulation Training and Testout\u003Cbr>Day 2 |\n\nWeek 2 36 hours on unit  \nMonday  \n12 hours  \nWork on Unit  \nTuesday  \nWednesday  \n12 hours  \nWork on Unit  \nThursday  \n12 hours  \nWork on Unit  \nFriday  \n48 hours on unit  \n68 hours in Nursing orientation  \nIdeal Handoff Content  \n Individual’s performance in the clinical (simulated) setting  \n Information about strengths and areas for improvement  \nDevelopment of the Report Card  \n Why?  \n􀀐 To communicate to the unit how this person did in Nursing Department Orientation  \n􀀐 Units to be able to individualize the unit orientation for the orientee  \n􀀐 To assess the quality of our new hired RNs  \n􀀐 To see if we could predict success at LPCH from performance in Nursing Department Orientation  \nBenner: Novice to Expert Information for Nursing  \nOrientation Self-Identification  \nNovice-New graduate  \nAdvanced Beginner -About 6mo-18 months working with the same population  \n•Knowledge of how and what to do  \n•Does assessment  \n•Working on aspect recognition: the ability to focus on the abnormal or important signs and save the less important assessment and tasks for later  \nCompetent-About 1-2 years working with the same population  \n•Has the skills to assess and analyze problems  \n•Does conscious, deliberate planning of care Proficient-About3-5 years working with the same population  \n•Has the skills and improves analysis  \n•Recognizes deterioration at the early warning signals  \n•Recognizes the whole and whether patient is progressing as expected  \n•Will stop and deal with things as they come up, has increased flexibility Expert  \n•Has intuitive grasp of the situation, puts everything in context  \n•Identifies and deduces, does trouble-shooting  \n•Presents evidence and listens to others input  \n•Can be hard to define the‘feeling that something is wrong’  \nSource: Benner, P. From Novice to Expert: Excellence and Power in Clinical Nursing Practice, Commemorative Edition. 2001. Prentice Hall Health. New Jersey.  \nSelf Assessment  \n\n| Type of prior job |  |  |  |  |\n| --- | --- | --- | --- | --- |\n| Benner level\u003Cbr>at old job | Adv Beg |  | \\# Years in that field |  |\n|  | Competent |  |  |  |\n|  | Proficient |  |  |  |\n|  | Expert |  |  |  |\n| Benner level an","cbCaieACnKMfaFZD","https://ap.wps.com/l/cbCaieACnKMfaFZD","pdf",188797,20,"English","# Learning Objectives\n## Background and Significance\n## Methods\n## Ideal Handoff Content\n## Development of the Report Card\n## Benner: Novice to Expert Information for Nursing\n## Orientation Self-Identification\n## Self Assessment\n## Instructor Assessment","[{\"question\":\"What learning objectives does this report focus on?\",\"answer\":\"It targets evaluating experienced nurses via simulation, using the report card from nursing orientation, and scoring scenarios with the Sweeney-Clark Clinical Simulation Performance Rubric.\"},{\"question\":\"Why is a hand-off report card important for nursing orientation transitions?\",\"answer\":\"The document highlights limited peer-reviewed literature on moving from general hospital orientation to unit orientation and notes no existing model for sharing performance assessment outcomes seamlessly with leadership.\"},{\"question\":\"How are nurses categorized for orientation based on the Benner model?\",\"answer\":\"It defines levels from Novice to Expert and describes expected knowledge, assessment behaviors, recognition of deterioration, analysis, and contextual judgment at each stage.\"}]","Hand-off Report Card for Nursing Orientation - Linda Hargreaves | PDF",1789268013,7]