2.50
Hdl Handle:
http://hdl.handle.net/10755/156985
Category:
Abstract
Type:
Presentation
Title:
Pandemic Staffing Pilot
Author(s):
Goatee, Christina N.; Raymond, Greg
Author Details:
Christina N. Goatee, University of Maryland Medical Center, Baltimore, Maryland, USA, email: cgoatee@verizon.net; Greg Raymond
Abstract:
PURPOSE: It is estimated that in the event of a pandemic surge, such as novel H1N1 influenza, staffing patterns may be reduced by as much as 50%. In planning for a potential pandemic surge this fall, we sought to simulate a staffing scenario that reflected the potential impact of reduced resources. The primary purpose of the project was to identify any risk to patient safety that might result from altered staffing patterns, and to identify the effects of the altered staffing pattern on nurses. DESCRIPTION: The surgical intensive care unit (SICU) is a 19-bed ICU in a large urban academic medical center. Patients admitted to the SICU come from a variety of sources, including the operating room and inter- and intrahospital transfers for rising acuity. Staffing patterns are typical for an academic hospital ICU with nursing ratios of 1:1 or 2:1, depending on patient acuity and nursing workload. The nursing unit was divided into 2 groups: the pilot (10 patients) group and the "business as usual" (9 patients) group. Nursing care in the pilot group was delivered by RN teams composed of 3 SICU RNs, 3 non-SICU RNs currently employed in nondirect patient care positions, a runner, and an administrative support role. Observation of the pilot was conducted by 5 SICU RNs. The RN observers ensured that standards of care were maintained, evaluated and recorded system issues related to care delivery. The observation team focused on the timeliness of the care team to respond to patient needs, alarms, physician orders, documentation of assessments, as well as opportunities for self care. Additionally, the observation team remained ready to assume patient care responsibilities and return to a normal staffing pattern should the pilot need to be discontinued. EVALUATION/OUTCOMES:The data collected from the pilot are currently under review. Both quantitative and qualitative data were collected. The RN Workload Questionnaire, which is a survey that measures stress and fatigue, was completed by SICU staff nurses at the end of an ordinary shift and at the end of the staffing pilot project. Each member of the Observation Team was provided with a digital voice recorder as well as a standardized observation tool. Data obtained from the observation tool capture the accuracy and timeliness of documentation, assessments, and treatments, patient safety, medication management, and personal/environmental safety.
Repository Posting Date:
26-Oct-2011
Date of Publication:
26-Oct-2011
Citation:
2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866
Conference Date:
2010
Conference Name:
National Teaching Institute and Critical Care Exposition
Conference Host:
American Association of Critical-Care Nurses
Conference Location:
Washington, D.C., USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titlePandemic Staffing Piloten_GB
dc.contributor.authorGoatee, Christina N.en_GB
dc.contributor.authorRaymond, Gregen_GB
dc.author.detailsChristina N. Goatee, University of Maryland Medical Center, Baltimore, Maryland, USA, email: cgoatee@verizon.net; Greg Raymonden_GB
dc.identifier.urihttp://hdl.handle.net/10755/156985-
dc.description.abstractPURPOSE: It is estimated that in the event of a pandemic surge, such as novel H1N1 influenza, staffing patterns may be reduced by as much as 50%. In planning for a potential pandemic surge this fall, we sought to simulate a staffing scenario that reflected the potential impact of reduced resources. The primary purpose of the project was to identify any risk to patient safety that might result from altered staffing patterns, and to identify the effects of the altered staffing pattern on nurses. DESCRIPTION: The surgical intensive care unit (SICU) is a 19-bed ICU in a large urban academic medical center. Patients admitted to the SICU come from a variety of sources, including the operating room and inter- and intrahospital transfers for rising acuity. Staffing patterns are typical for an academic hospital ICU with nursing ratios of 1:1 or 2:1, depending on patient acuity and nursing workload. The nursing unit was divided into 2 groups: the pilot (10 patients) group and the "business as usual" (9 patients) group. Nursing care in the pilot group was delivered by RN teams composed of 3 SICU RNs, 3 non-SICU RNs currently employed in nondirect patient care positions, a runner, and an administrative support role. Observation of the pilot was conducted by 5 SICU RNs. The RN observers ensured that standards of care were maintained, evaluated and recorded system issues related to care delivery. The observation team focused on the timeliness of the care team to respond to patient needs, alarms, physician orders, documentation of assessments, as well as opportunities for self care. Additionally, the observation team remained ready to assume patient care responsibilities and return to a normal staffing pattern should the pilot need to be discontinued. EVALUATION/OUTCOMES:The data collected from the pilot are currently under review. Both quantitative and qualitative data were collected. The RN Workload Questionnaire, which is a survey that measures stress and fatigue, was completed by SICU staff nurses at the end of an ordinary shift and at the end of the staffing pilot project. Each member of the Observation Team was provided with a digital voice recorder as well as a standardized observation tool. Data obtained from the observation tool capture the accuracy and timeliness of documentation, assessments, and treatments, patient safety, medication management, and personal/environmental safety.en_GB
dc.date.available2011-10-26T19:19:09Z-
dc.date.issued2011-10-26en_GB
dc.date.accessioned2011-10-26T19:19:09Z-
dc.identifier.citation2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866en_GB
dc.conference.date2010en_GB
dc.conference.nameNational Teaching Institute and Critical Care Expositionen_GB
dc.conference.hostAmerican Association of Critical-Care Nursesen_GB
dc.conference.locationWashington, D.C., USAen_GB
dc.identifier.citation2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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