20 MAGNET EDITION | 2018 | www.advanceweb.com Nursing Leadership again began to brain- storm to determine what was the best way to complete the floor orientation for the new RNs. It was determined that the cohorts would be split into smaller groups and then divided amongst three existing floors at MSKCC: the existing BMT unit, and the Leukemia and Lymphoma units, which were respectively oper- ational with telemetry. The RN would start on one of the three units and complete two months of floor orienta- tion. After the completion of the two months, they were then rotated to another unit for one month in order to accommodate the training requirements. Then after completing their third month of orientation, they again rotated to the final floor for their final month of orientation to complete their experience. By way of splitting and rotating the staff, the new RNs were competently trained in BMT, telemetry, chemotherapy, and CAR-T cell ther- apy. Upon completing their four months of floor orientation, the nurses returned to the original unit they started on and counted in that floor’s numbers until the new unit opened. Throughout orientation staff meetings, emails and gatherings were conducted in order to be in continuous communication with the newly hired staff. Constant communication and personal interaction was the method cho- sen in order to best nurture a team culture even though a current team home did not exist. The newly hired MSKCC staff were not only trying to learn a complex new role and employ- ment structure, they were also constantly changing environments and having to engage with a new staff and culture on each of their rotated orientation floors. Equally, the sea- soned staff on the existing units adjusted to the newly hired rotating staff and spent innu- merable hours and months orientating all of them to create a team and ultimately a success- ful new BMT unit for MSKCC’s patients. This is the core meaning and illustration of what adaptability means. Through countless hours of teamwork and constant iteration we succeeded by creating a strong team that is equipped to take care of our BMT patients on the new floor at MSKCC. Submitted by Pamela Hill Team Members: Addie Watters, CN II Adriana Villari, CN I Alison Gurney , CN I Alison Rodriguez, CN I Allie Sigadel, CN I Allyson Bagalay , CN I Amanda Bedross, CN I Amber Veritzan, CN I Ashley Mercado, UA Ayelet Lerman, CN I Brianna DiTullio , CN II Camilla Browne, PCT Chana Gaerman, CN I Cheryl Haynes, CN I Cherylann Joseph, PCT Christina Carmi, CN I Christine McCarthy, CN I Colleen Johnston-Berresford , CN I Coumba Gueye, PCT Curtisann Gairy, PCT Diane McCaren, Nursing Professional Development Specialist Elizabeth Giles, CN I Erin Regan, CN I Jacob Barela, CN I Jacqueline Malabanan, CN I Jennifer Lee, CN I Jenny Tran , CN III Jessica Miller , CN I Joanna Scibilia, PCT Jocelyn Brooks, CN II Julie Kleber, CN III Katelyn Maldonado, PCT Kathy Choo, Clinical Nurse Specialist Katie Anderson, PCT Kevin Budway , CN IV Kimberly Piruzzi, CN I Lauren Roney , CN I Lilly Reilly , CN IV Lindsay Lafreniere, CN IV Maureese Thomas, PCT Megan Hall, CN II Melissa Ward, CN I Michael Velazquez,UA Monica Ye, CN I Naebia Nugent, PCT Natalie Macario, UA Neyda Guerrero-Gomez, PCT Pamela Hill, Nurse Leader Phyllis Wilson-John, PCT Rachel Paul, CN I Raffaele Lo Basso, CN II Rebeya Akhtar, UA Roseanna Troche, CN II Ryanne McKenna, CN II Samantha Navarro, CN I Sarah Wagner, CN I Sinead Cormican, CN I Stacey Watson, PCT Stephanie Incardona, CN I Stephanie Robinson, CN II Tara Siebenaller, CN II Tessa Thomas Regis, PCT Tugce Batirbek , CN I Victoria Hohmann, CN I Vivian Ng, CN I Yvonne Correa, UA Zea Levy, PCT *CN - Clinical Nurse; PCT - Patient Care Technician; UA - Unit Assistant BEST NURSING TEAM | MAGNET EDITION Over a course of 10 months, a mixture of 40 new BSN graduates and RNs with experience 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 hematology/oncology; more specifically, the BMT patient population.