2.50
Hdl Handle:
http://hdl.handle.net/10755/162414
Type:
Presentation
Title:
Implementation of an Emergency Department Specialty Pool
Abstract:
Implementation of an Emergency Department Specialty Pool
Conference Sponsor:Emergency Nurses Association
Conference Year:2010
Author:Wall, Alice, RN, MS, CEN
P.I. Institution Name:Lehigh Valley Health Network -ED
Title:Staff Nurse û ED Specialty Float
Contact Address:17th and Chew Streets, Allentown, PA, 18104, USA
Contact Telephone:610-969-2270
Co-Authors:Lucinda Hirschel, RN, BS; Sara Happel, RN, MS,CEN
[ENA Annual Conference - Evidence-based Practice Presentation]
Purpose: The implementation of an Emergency Department (ED) specialty pool was to provide competent ED trained RNs to three EDs within a health network. Providing RNs for all EDs in the network assures the needs of the hospital and community are met.

Design: Prior to the establishment of the ED specialty float pool, providing coverage for staffing vacancies presented challenges. The use of 'on-call' RNs and RNs unfamiliar with the ED environment caused staff dissatisfaction and increased stress. The need for alternative staffing was evident.

Setting: An academic, community, Magnet health network in Northeastern Pennsylvania consisting of three emergency departments: a Level 1 Trauma Center, community hospital, and inner-city hospital setting.

Participants: Staff RNs from the three EDs in the network.

Methods: The nurses in the ED float pool participate in a ten-week orientation: 4 weeks in the Level I Trauma Center ED, 3 weeks in the community-based ED, 2 weeks in the inner-city ED, and 1 week with a senior float pool nurse throughout all EDs. The ED float pool RNs are evaluated by each ED to assure specific competencies have been met and are required to maintain the same certifications, such as ACLS and PALS, as all other ED RNs. Continuing education requirements must be completed by all float pool RNs during annual ED education days. The ED float nurses are utilized to correct staffing needs resulting from staff vacancies, illness, and leave of absence. Scheduling for ED float nurses is very flexible and utilizes self-scheduling techniques. In addition, ED float pool RNs receive a yearly bonus, which starts after the first full year of employment.

Results: Increased staff satisfaction occurred since implementation. The use of 'on-call' time for RNs has dissipated. The ED charge nurses report increased satisfaction with the availability of trained RNs to cover necessary shifts. In addition, the result of meeting a staffing need with an experience RN has resulted in decrease stress over staffing in the fast paced, stressful ED environment. The RNs from the ED specialty float were utilized to staff a 'surge hospital' during the H1N1 outbreak in the summer/fall of 2009. This decreased the burden on staff to triage and treat these additional patients and improved patient outcomes.

Implications: The implementation of ED specialty float nurses can be developed in any ED to satisfy staffing vacancies, increase staff satisfaction, and assure patient safety.
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.titleImplementation of an Emergency Department Specialty Poolen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162414-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Implementation of an Emergency Department Specialty Pool</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">Wall, Alice, RN, MS, CEN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Lehigh Valley Health Network -ED</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Staff Nurse &ucirc; ED Specialty Float</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">17th and Chew Streets, Allentown, PA, 18104, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">610-969-2270</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">alex1231@ptd.net</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Lucinda Hirschel, RN, BS; Sara Happel, RN, MS,CEN</td></tr><tr><td colspan="2" class="item-abstract">[ENA Annual Conference - Evidence-based Practice Presentation] <br/>Purpose: The implementation of an Emergency Department (ED) specialty pool was to provide competent ED trained RNs to three EDs within a health network. Providing RNs for all EDs in the network assures the needs of the hospital and community are met. <br/><br/>Design: Prior to the establishment of the ED specialty float pool, providing coverage for staffing vacancies presented challenges. The use of 'on-call' RNs and RNs unfamiliar with the ED environment caused staff dissatisfaction and increased stress. The need for alternative staffing was evident.<br/><br/>Setting: An academic, community, Magnet health network in Northeastern Pennsylvania consisting of three emergency departments: a Level 1 Trauma Center, community hospital, and inner-city hospital setting. <br/><br/>Participants: Staff RNs from the three EDs in the network.<br/><br/>Methods: The nurses in the ED float pool participate in a ten-week orientation: 4 weeks in the Level I Trauma Center ED, 3 weeks in the community-based ED, 2 weeks in the inner-city ED, and 1 week with a senior float pool nurse throughout all EDs. The ED float pool RNs are evaluated by each ED to assure specific competencies have been met and are required to maintain the same certifications, such as ACLS and PALS, as all other ED RNs. Continuing education requirements must be completed by all float pool RNs during annual ED education days. The ED float nurses are utilized to correct staffing needs resulting from staff vacancies, illness, and leave of absence. Scheduling for ED float nurses is very flexible and utilizes self-scheduling techniques. In addition, ED float pool RNs receive a yearly bonus, which starts after the first full year of employment. <br/><br/>Results: Increased staff satisfaction occurred since implementation. The use of 'on-call' time for RNs has dissipated. The ED charge nurses report increased satisfaction with the availability of trained RNs to cover necessary shifts. In addition, the result of meeting a staffing need with an experience RN has resulted in decrease stress over staffing in the fast paced, stressful ED environment. The RNs from the ED specialty float were utilized to staff a 'surge hospital' during the H1N1 outbreak in the summer/fall of 2009. This decreased the burden on staff to triage and treat these additional patients and improved patient outcomes. <br/><br/>Implications: The implementation of ED specialty float nurses can be developed in any ED to satisfy staffing vacancies, increase staff satisfaction, and assure patient safety.<br/></td></tr></table>en_GB
dc.date.available2011-10-27T10:27:49Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:27:49Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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