2.50
Hdl Handle:
http://hdl.handle.net/10755/162370
Type:
Presentation
Title:
The Surge of H1N1: A Patient Safety Initiative
Abstract:
The Surge of H1N1: A Patient Safety Initiative
Conference Sponsor:Emergency Nurses Association
Conference Year:2010
Author:Buckenmyer, Charlotte, RN, MS, CEN
P.I. Institution Name:Lehigh Valley Hospital Health Network
Title:Director, Muhlenberg Emergency
Contact Address:2545 Schoenersville Road, Bethlehem, PA, 18017-7384, USA
Co-Authors:Constance Simpson RN; 3. Kristine Weitzel RN
[ENA Annual Conference - Evidence-based Practice Presentation]

Purpose: Staff in the Emergency Department (ED) in a magnet health network recognized the need to improve patient flow while caring for a surge of H1N1 patients. The purpose of this patient safety initiative was to facilitate the rapid flow of patients experiencing influenza-like symptoms through a busy ED, while at the same time providing uncompromised care to the other patients.

Design: This patient safety plan implemented by the network's emergency preparedness team, ED leadership, and ED staff was developed to minimize staff impact, while providing adequate space, resources, and care for the patient population with suspected H1N1.

Setting: This initiative was developed and implemented in the ED community hospital, which is one of three EDs in a magnet designated health network. An inflatable surge hospital to treat patients with influenza-like symptoms was erected near the entrance of the ED.

Participants/Subjects: The ED staff, inclusive of nurses, physicians, and registration staff, and the emergency preparedness team were responsible for the implementation of the surge hospital. The participants were patients who presented with influenza-like symptoms.

Methods: A patient safety concern caused the presenting organization to take specific action in order to care for H1N1 patients, but also to segregate the other ED patients from those who were contagious. Patients who presented in the ED with influenza-like symptoms and other emergent patients caused increased wait times and decreased patient satisfaction. Immediate actions taken by the ED to divert influenza-like patients to an area where there was decreased exposure to other patient populations became imminent. A temporary surge area was created adjacent to the ED lobby. This area was staffed with ED nurses and a PA or physician and contained segregated patient areas, computers, phones, and cough stations. But this was just the beginning of the disaster plan for H1N1. The real solution was an inflatable facility erected by our Emergency Preparedness team. It housed eight patient care areas, an ante room, medical carts, and computer area. Staffing included ED RNs, mid-level providers, and ED registrars. Patients were initially triaged in the main ED, then masked and taken to this surge hospital

Results/Outcomes: The inflatable surge hospital remained upright for three weeks. During this time, an average of 66% more patients per day were treated, with the highest daily volume reaching 218 patients. Patients with influenza-like symptoms were segregated from other ED patients, which decreased exposure to H1N1. Staff satisfaction improved with this patient safety initiative and staff volunteered for additional shifts. While there was a decrease in overall patient satisfaction due to high volumes, patients treated in the surge hospital were pleased with the care provided and other ED patients were pleased that the possible exposure to H1N1 was reduced.

Implementation: This patient safety initiative based on the surge of H1N1 patients reflected the successful implementation of a disaster plan by the presenting organization. This presentation will be of interest to any participant desiring insight into a successful disaster plan for a medical outbreak.
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Surge of H1N1: A Patient Safety Initiativeen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162370-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Surge of H1N1: A Patient Safety Initiative</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Buckenmyer, Charlotte, RN, MS, CEN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Lehigh Valley Hospital Health Network</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Director, Muhlenberg Emergency</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">2545 Schoenersville Road, Bethlehem, PA, 18017-7384, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Charlotte.Buckenmyer@lvh.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Constance Simpson RN; 3. Kristine Weitzel RN</td></tr><tr><td colspan="2" class="item-abstract">[ENA Annual Conference - Evidence-based Practice Presentation]<br/><br/>Purpose: Staff in the Emergency Department (ED) in a magnet health network recognized the need to improve patient flow while caring for a surge of H1N1 patients. The purpose of this patient safety initiative was to facilitate the rapid flow of patients experiencing influenza-like symptoms through a busy ED, while at the same time providing uncompromised care to the other patients. <br/><br/>Design: This patient safety plan implemented by the network's emergency preparedness team, ED leadership, and ED staff was developed to minimize staff impact, while providing adequate space, resources, and care for the patient population with suspected H1N1. <br/><br/>Setting: This initiative was developed and implemented in the ED community hospital, which is one of three EDs in a magnet designated health network. An inflatable surge hospital to treat patients with influenza-like symptoms was erected near the entrance of the ED. <br/><br/>Participants/Subjects: The ED staff, inclusive of nurses, physicians, and registration staff, and the emergency preparedness team were responsible for the implementation of the surge hospital. The participants were patients who presented with influenza-like symptoms. <br/><br/>Methods: A patient safety concern caused the presenting organization to take specific action in order to care for H1N1 patients, but also to segregate the other ED patients from those who were contagious. Patients who presented in the ED with influenza-like symptoms and other emergent patients caused increased wait times and decreased patient satisfaction. Immediate actions taken by the ED to divert influenza-like patients to an area where there was decreased exposure to other patient populations became imminent. A temporary surge area was created adjacent to the ED lobby. This area was staffed with ED nurses and a PA or physician and contained segregated patient areas, computers, phones, and cough stations. But this was just the beginning of the disaster plan for H1N1. The real solution was an inflatable facility erected by our Emergency Preparedness team. It housed eight patient care areas, an ante room, medical carts, and computer area. Staffing included ED RNs, mid-level providers, and ED registrars. Patients were initially triaged in the main ED, then masked and taken to this surge hospital<br/><br/>Results/Outcomes: The inflatable surge hospital remained upright for three weeks. During this time, an average of 66% more patients per day were treated, with the highest daily volume reaching 218 patients. Patients with influenza-like symptoms were segregated from other ED patients, which decreased exposure to H1N1. Staff satisfaction improved with this patient safety initiative and staff volunteered for additional shifts. While there was a decrease in overall patient satisfaction due to high volumes, patients treated in the surge hospital were pleased with the care provided and other ED patients were pleased that the possible exposure to H1N1 was reduced. <br/><br/>Implementation: This patient safety initiative based on the surge of H1N1 patients reflected the successful implementation of a disaster plan by the presenting organization. This presentation will be of interest to any participant desiring insight into a successful disaster plan for a medical outbreak. <br/></td></tr></table>en_GB
dc.date.available2011-10-27T10:27:02Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:27:02Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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