www.advanceweb.com | 2018 | MAGNET EDITION 19 ADAPTABILITY Winner: Memorial Sloan Kettering Cancer Center, New York, NY “I thought this was a very professional, well-written submission,” said our judge. “This team substantiated their success—the excellent planning, utilization of a multi-dis- ciplinary approach, keeping a realistic per- spective, and using measurement technique to track their process. This was nicely planned and executed.” Adaptability: The Oxford Dictionary defines adaptability as “the quality of being able to adjust to new conditions and/or the capacity to be modified for a new use or purpose.” Memorial Sloan Kettering (MSKCC) Bone Marrow Transplant Service (BMT) was expe- rience a rising census challenge. The issue led administration to elect to build a new BMT unit within the hospital. The question then became, how does MSK develop RNs and ancillary staff to be skilled and equipped to take care of patients on a floor that does not yet exist? Nurse Leaders and Advanced Practice RNs (APRNs) worked tirelessly to plan an orienta- tion program to take on the challenge. They strategized amongst one another to decide how to implement a training program that would lead to a cultivated and competent staff who would be prepared to take care of this specific patient population. Over a course of 10 months, a mixture of 40 new BSN graduates and RNs with expe- rience were hired by MSKCC into cohorts. They received their traditional MSKCC RN Department of Nursing Orientation, which was followed by a BMT specific didactic and skill orientation. This orientation was held in smaller groups that focused on the hema- tology/oncology; more specifically, the BMT patient population. Nursing leadership, APRNs and senior staff nurses developed schedules for these smaller groups, which consisted of comprehensive lec- tures and hands-on patient care including CVC dressing changes, blood product admin- istration, chemotherapy, telemetry etc., which in turn would further prepare the new RN staff to begin their floor orientation. Once the lecture and focused skill training was complete, the RNs began their floor orien- tations with their preceptors. Conventionally, this would be an easy task. However, with the large group that needed to be trained the exist- ing BMT unit could not logistically accommo- date the orientation requirements in addition to their own newly hired staff. To make things more complex, the new BMT unit was to be equipped with telemetry, dialysis and CAR-T cell patients, which the current BMT unit was not supporting. The question then became “How can we adapt our orientation program to success- fully train the new RN staff to ensure that they would be competent by the time the unit opened?” A second but equally important challenge was how do we create a team when they did not have a current designated space? MAGNET EDITION  |  BEST NURSING TEAM