Source: U.S. Dept. of Labor, Bureau of Labor Statistics

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2 Vacancy Rate? Need Nurses? Want Leaders to work as a team? Nurses Retiring estimated over 555,000 Nurse Jobs being added over 574,000 Nurses needed between 2012 and 2022 over 1.1 Million Source: U.S. Dept. of Labor, Bureau of Labor Statistics

3 Located in New Bern, NC 350 bed, multi facility health system Serves the five-county Coastal Carolina region 2300 employees Almost 500 Volunteers

4 On June 4th, 1903, Josephine Burton of Craven County became the first Registered Nurse in North Carolina and therefore the first Registered Nurse in the United States Colonial capital of North Carolina in 1770 Birthplace of Pepsi-Cola," 1st known as "Brad's Drink."

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7 1. Describe successful strategies to help reduce nurse vacancy rates 2. Three (3) strategies to streamline hiring process 3. Identify the impact Manager and Peer Behavioral interviewing has on employee selection and retention 4. Identify three (3) ways to maintain integrity of Manager and Peer behavioral interviewing 5. Analyze the impact this process has had on CarolinaEast Medical Center

8 Increase number of nurses Improve patient and staff satisfaction Increase staff involvement Increase retention Decrease turnover Decrease risk for adverse outcomes

9 Large academic center visits local University and Community College All graduates offered jobs No interview required

10 60 open RN FTEs based on budgeted ADC of 184 Currently ADC running 220 > 130 RN vacancies

11 Nursing and HR Executives brainstormed College Visit University Visit Career Fair Marathon interview day!

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13 Hardwired Over 600 staff trained Decrease turnover rate Not willing to compromise

14 Percent 90 Day Turnover Rate Since Implementation Behavioral Interviewing % %

15 New Bern Riverfront Convention Center Over 30 Clinical Managers Over 30 Peer Nurses 2 HR recruiters Nursing and HR Executives and CEO

16 HR screening determined 4 areas of interest/fit Built interview teams to match applicants interest Manager and Peer groups assigned by interest

17 Give me an example on a previous job where you have made a difference in someone s life. Describe a time when you realize you needed to make an improvement in your communication skills. What was the situation and how did you manage it? Tell me about a time when you had to solve a problem with very little guidance or direction. Tell us a mistake you made and what did you do once you became aware of it? Tell me about a time when you have worked well as a team. What you did to make the team better? Tell me a time when you used time management to improve your productivity/ How did you establish priorities?

18 Tell me about a time that you dealt with a patient that was not satisfied. How did you interact? What did you do? Do you describe yourself as a leader or a follower and why? Describe a time you were put into a leadership role. Give me an example of a time in which you had to make a decision quickly. Describe a time when you had to analyze a problem and generate a solution. What was the result. Describe what a good work environment looks like to you. Give an example of how you have contributed to that work environment. Give me an example of a situation on a previous job where you took care of something without being told to do so.

19 How did the best supervisor motivate you to perform well? Why did that method work? What value would you bring to our department? What questions do you have for us?

20 24 Hour Snapshot: 42 RNs Interviewed 38 RNs Offered 35 RNs Hired All while upholding the integrity of the Manager and Peer Behavioral Interview process

21 We realized that not all New Grad Nurses would be available to interview on the single selected day We scheduled another date to repeat process on Hospital campus Hired 13 more New Grad Nurses using same process Realized this process could work for experienced nurses and staff as well Evaluated workflow of applicant tracking system(ats)

22 HR Interviews/Screens Candidates Multiple Nurses interview on single day Interview with group of managers from areas of interest Interview with multiple peers from areas of interest Facility tour Candidate and Peer Matching occurs Offers go out same day

23 48% increase in # of RNs Hired May July 2016

24 Improved Hiring Process. Process can be implemented in other areas of the organization. Maintaining the Behavior manager and peer interview process is imperative.

25 Successful strategies to help reduce nurse vacancy rates Maintain the integrity of Behavioral Manager and Peer Interview Process Streamline the hiring process Look for black holes in ATS

26 Implementation of three (3) strategies to streamline your hiring process Early HR screening Collaborative approach between Human resource and Clinical Nurse Managers One day hiring process to include human resource recruiters, managers, staff nurses, and tour Twenty-four hour offer turn-around time to HR

27 The impact Manager and Peer Behavioral interviewing has on employee selection and retention

28 Identify three (3) ways to maintain integrity of Manager and Peer behavioral interviewing Increase the pool of quality trained nurses for interviewing Hospital complexes interview perspective applicants interested in their area Standardized questions from data base for all interviews

29 Identify three (3) ways to maintain integrity of Manager and Peer behavioral interviewing Increase the pool of quality trained nurses for interviewing Hospital complexes interview perspective applicants interested in their area Standardized questions from data base for all interviews

30 2015 verses 2016 hiring rates Decreases employee turnover Increase retention Improve clinical outcomes Decrease recruitment and hiring cost Create and sustain a culture of high performance

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