Clarification of new hires: MCP vs CVG vs PCI Groups

The department of Cardiology has hired on a new NP for West Bend Hospital.  He is hired on by Children's Venture Group (CVG)and MCW.  He will be working full time at West Bend Hospital in patient as well as out patient along with our MCW physicians and other nurse practitioners.

Initially, I contacted our department administrator immediately after I heard the new NP Joel Shaeve was hired for West Bend so I can get involved.  I was told in an email that our department administrator will not be responsible for his orientation. A few weeks later an e mail blast was sent out to our department that Joel is starting in a week and he will be here at Froedtert orienting since he only is only credentialed with MCW.

I took the opportunity to set up his first week of orientation here at Froedtert so that there is some structure.  Our administrator appointed one of our Department NP's as his contact person.  The first two weeks of his orientaion have been a success so far! 


I received further clarification from Julie Raaum in regards to new hires outside MCW.

I met with Dr. Fickel last week to share the background behind the APP Education Council’s Orientation Guidelines and the identification of APP New Hire Coordinators.  These new hire coordinator roles are populated by APP staff who self-select because they have a vested interest in education and APP onboarding.  They are clinical content experts in their areas.  They know what clinical learning and support is essential for a new APP hire to be successful.  They work to augment the department and division leaders and APP preceptors. 

Since launched in July of this year, several coordinators have asked to clarify their role in supporting CVG new hires.  I addressed this with Dr. Fickel and she fully supports the role of the new hire coordinator (in areas where they exist) in the onboarding of CVG staff.  Dr. Fickel supports optimizing the orientation of all new APP staff and welcomes the role of APP new hire coordinators as partners in achieving this aim.

Please share this with your workgroup and new hire coordinators.

Julie Waitkoss Raaum APNP

Director MCP Advanced Practice Providers| Office of Clinical Affairs| Medical College of Wisconsin 

P: 414.805.0741 | F: 414-805-7967 | email:  jraaum@mcw.edu

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Thank You

Paving the way

We have two new NP's in our Cardiology department that started in the last month.  They both are working in CHF/VAD destination therapy with Dr Mahr and their titles are NP coordinators.  This is a new role here at MCP/Froedtert and will be developed as they go.... with Dr mahr's vision. We already have an RN ( studying to be an NP) in the role of coordinator that has been with Dr Mahr for the past year and knows some of the job expectations but not necessarily NP level yet.  The RN that has been in the role has been a great help in introduction to the job they will be performing.  The RN has done alot of foot work in developing some outlines for the new NPS to follow.

I sat down with Dr Mahr and asked specific goal he expects to see with each NP in the next 3-6 and 9 months.  This will help in making sure the NP is working toward these goals and prevent pitfalls I hope.

First thing is EPIC utilization (of course) and VAD management.  I learned that any access to epic has a car form? that needs to be filled out by administrator or clinic manager in order to change RN status in epic, to NP status.  We do not have privileges to do this for them.  I am finding this form must be a pain to fill out.  I also learned that if you need to change access ASAP in Epic, you have to have a legit reason to have it processed same day.  This can be frustrating when the service they are hired to perform in is super busy from the get go, and anticipation to get the new NP's up in running is high!

As far as VAD management, Dr Mahr has been working closely with the NP's and RN in obtaining the hands on training, although I am not quite sure if they are capturing the documentation of core specific privileges.  I know they are aware of this but not sure how this is getting done. 

I sat down with the two NP's twice now to listen to what is going well and what they need help with, such as epic orders, screen changes.  I also had the opportunity to get them to attend our intro to APP Council meeting on Thursday and introduced them them to the group.  I think this was kind of nice to meet the other APPs here sooner than later. 

Recap:  First few weeks of orientation

Met with attending physician to get a 3-6-9 month plans and goal setting

Review new hire check list and customize the first month based on core specific priorities.

Met with new NP's twice and frequent follow up stuff as it pertains to epic.

Introduce to other APP's and eventually Julie Raaum, Dr Biblo...



I have also been jotting notes as I go of stuff I gave them or things I need to still do:

*vacation forms

*adding them to grand rounds E mail and pager blasts as well as department based grand rounds

*Algorithm's for cards specific stuff, afib CHADS 2 score, pre op...

*Got them added to APP email listing with Gail Oehlke her email: goehlke@mcw.edu

*on line resources such as Up to Date www.uptodate.com



It will be great to hear feedback!

Christine