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Almost 100 student nurses in Atlanta have gained a unique understanding of what a Veteran with mental health problems is going through. As part of their training, they have worked closely with Veterans in a psychiatric unit as part of a new approach to prepare them for the real world of a nurse’s clinical practice. VA and Emory University School of Nursing are partners in an innovative collaborative teaching model that has redefined the roles of clinical faculty at Emory and bedside registered nurses at the Atlanta VA Medical Center. The student nurses at Emory are assigned to a Dedicated Education Unit, a model that enhances clinical teaching of students through their engagement with an assigned clinical instructor, a VA staff nurse, who is supported by a member of the Emory clinical faculty.

Students in the program are paired with the same clinical instructor for their entire rotation.
This VA-Emory teaching model is an educational approach that focuses on quality and safety initiatives as well as collaborative practice in a patient and family centered care environment while advancing clinical skills of students. In the fall of 2011, the Atlanta VAMC partnered with the Emory University School of Nursing to create a Dedicated Education Unit in the VA inpatient psychiatric unit, an innovative application of the model, which has been used nearly exclusively in medical-surgical inpatient units. Ten staff nurses on the unit received two days of intensive training by Emory faculty for their role as a clinical instructor and continued to receive ongoing mentoring by the clinical faculty.
The concept has been well-received by students, who report that they appreciate the amount of time they are in contact with their instructor and with several patients on any given day.
Ninety-seven students have completed their clinical rotation in the innovative teaching model.
Plans are underway to add additional units in other inpatient settings because this form of academic and service partnership can potentially bridge the gap between the roles of new graduate nurses as they transition into the professional practice role of registered nurse.
The Dedicated Education Unit can provide students with experiential learning while providing registerd nurse practitioners the opportunity for professional growth as clinical educators. When dialysis patients are being attended to, for example visiting the hospital for an emergency or check-ups, nurses may attempt to do needle work (draw blood, IV, injections, etc.), and take blood pressure on your fistula arm.

This is in contrast to the traditional model of inpatient clinical rotations in which a university clinical faculty member is responsible for eight to 10 students, each of whom is assigned to one patient with limited staff nurse involvement with the student. Given the success of the program on the inpatient psychiatric unit, the model was expanded to include the Community Living Center at the Atlanta VAMC, also a non-traditional clinical setting. When you are awake you may be able to prevent this, but who knows if your fistula arm is used while you are unaware due to an anesthetic or while sleeping. Though it may be difficult to believe, if you are not careful a nurse may take your blood pressure or draw blood from the wrong arm, even when appropriately labeled with a medical bracelet. Also, writing "Do Not Use!" on the arm with a marker, or even on medical tape is a great idea.

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communication problems between nurses and physicians

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