Clinical Nurse Residency (CNR)
This program for the newly graduated or Re-Entry nurse has been in existence at Memorial Medical Center since 1995. The CNR program is 16 weeks long with progressively independent functioning in the clinical area as a key component.
The intent of the CNR program fits well within the mission of MMC in valuing and supporting our employees. This intensive orientation program is a step in assuring high quality care for all our customers.
The goals of this program are to:
- Initiate the first steps of differentiated nursing practice at MMC (Enables the new nurse to more effectively apply skills, education, knowledge, and experience to specific RN roles.)
- Provide added support and education during the residency program.
- Promote intrafacility and collaborative integration of patient services through visitation to various ancillary departments
- Assure entry-level clinical competency
- Preceptors provide support as RN role models.
- Enhance job satisfaction
The newly graduated nurse or Re-Entry professional nurse will be prepared to participate in team delivered quality patient care at the conclusion of orientation. The nurse will have the ability to coordinate patient care using an integrated patient care delivery approach that addresses the continuum of care.
Requirements for acceptance into CNR program:
- Graduation from an accredited nursing program.
- Possession of RN licensure from the California Board of Registered Nursing.
- A minimum of 500 hours of supervised clinical experience in an acute care facility, which was obtained through an accredited school of nursing program which has been approved by the BRN.
- A minimum of 500 hours of supervised clinical experience, which were obtained while employed as an LVN in an accredited acute care facility.
- Graduates of external degree programs with no prior nursing experience must:
- Have a minimum of 500 hours of recent (within last 12 months) acute care hospital or inpatient long-term care facility experience providing direct patient care.
- Be able to show proof that recent job experience involved the assessing, planning, implementation and evaluation of patient care.
- Complete the CNR program on a medical surgical unit prior to admission to a specialty unit.
- Provide proof of satisfactory job performance for the last 12 months prior to approval.
- Program length is 16 weeks of full time employment.
- a. No Paid Time Off (PTO) will be granted during this time.
- b. No floating to other nursing units will occur during this time
unless accompanied by preceptor.
- The CNR will have the opportunity to visit and learn about other departments that directly or indirectly contribute to patient care. Hospital visits need to be completed within the first 12 week period.
- Classroom education will occur throughout the program.
- Specific competency programs will be utilized to provide the CNR.
- a. With working knowledge of resources available;
- b. Familiarity with key policies and procedures;
- c. Reassurance that selected nursing interventions are being safely and effectively performed;
- The CNR will work with a preceptor in the clinical area 100% of the time for the first 12 weeks.
- During last 4 weeks the CNR will be expected to carry a full patient load. The CNR will continue to gain expertise in providing patient care with the continued guidance from a preceptor as needed.
- Upon completion of the program, the CNR may apply for open (entry level RN) positions.
Requirements for continuation in CNR Program:
- Specific requirements must be successfully met and documented in the CNR log by the end of the program. The CNR must work at least 95% of the scheduled clinical hours.
- Specific requirements must be successfully met and documented in the CNR log within the established time frames.
- Visitation to hospital departments must be completed during the first three months of the program.
Supporting Patients Together
Memorial Medical Center is located at the heart of the San Joaquin Valley, in Modesto, California. Memorial Medical Center is committed to keeping pace with changing technology and the needs of our growing population. We are a 425 bed, full service, acute care hospital, balancing sophisticated innovations with a caring approach.
Specialty units include: Level 2 Neonatal Intensive Care nursery, 12 bed Labor and Delivery, 2 Recovery, 25 bed post partum, 35 bed Intensive Care Unit, 12 bed Coronary Care Unit, a Dialysis Unit and Operating Room.
The areas in which a newly graduated or Re-Entry nurse may work are the following:
- Telemetry: 60 beds, primarily cardiac (surgical and medical)
- Surgical: 56 beds
- Oncology: 27 beds
- Renal/Diabetic: 51 beds (48 beds with telemetry)
- Pediatrics: 27 beds (10 on Peds & 17 Med/Surg Overflow)
- Ortho/TJRU: 56 beds (28 on Ortho & 28 on TJRU)
- Emergency: 37 beds
- Family Birthing Center: 39 beds (12 L&D, 25 post partum, 2 recovery)
- Case Management: Resource Utilization
- Operating Room
Should you desire additional information, or have any questions, please contact one of the following.
Ms. Suzanne Williams RN, MSN-ED
CNR Program Coordinator
Last Update: 3/31/2014