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A Handoff Report Card for General Nursing Orientation

Hargreaves, Linda MSN, RN, PCNS-BC; Nichols, Amy EdD, RN; Shanks, Staci BSN, RN; Halamak, Louis P. MD, FAAP

Journal of Nursing Administration: October 2010 - Volume 40 - Issue 10 - p 424-431
doi: 10.1097/NNA.0b013e3181f2eb74

While redesigning nursing orientation, a gap in the transmission of information from general hospital to unit orientation was identified: Unit managers were unaware of the strengths and weaknesses identified in the nursing orientation of newly hired experienced nurses and, therefore, could not tailor the unit orientation to meet the specific needs of these orientees. The authors discuss the development and implementation of a nursing orientation report card, consisting of a 100-point score containing a summary of skills, knowledge, and Benner level measuring clinical performance and critical thinking, to facilitate better exchange of performance data.

Authors' Affiliations: Clinical Nurse Specialist (Ms Hargreaves), Director (Dr Nichols), Center for Nursing Excellence; Assistant Patient Care Manager (Ms Shanks), Acute Care Pediatrics, Lucile Packard Children's Hospital at Stanford, Palo Alto; Associate Professor (Dr Nichols), School of Nursing, San Francisco State University; Associate Professor (Dr Halamak), School of Medicine, Stanford University; Director (Dr Halamak), Center for Pediatric and Perinatal Education, Palo Alto, California.

Corresponding author: Ms Hargreaves, 725 Welch Road, 3719, Palo Alto, CA 94304 (

© 2010 Lippincott Williams & Wilkins, Inc.