2.50
Hdl Handle:
http://hdl.handle.net/10755/162489
Type:
Presentation
Title:
TEDI Nurse: Service Excellence Despite ED Nurse Shortages
Abstract:
TEDI Nurse: Service Excellence Despite ED Nurse Shortages
Conference Sponsor:Emergency Nurses Association
Conference Year:2008
Author:Tefel, Wende, RN, C, CEN
P.I. Institution Name:Strong Memorial Hospital
Title:Nurse Leader
Contact Address:8 Paddington Drive, Rochester, NY, 14624, USA
Contact Telephone:585-275-1773
[Clinical Poster] Clinical Topic: The shortage of emergency department (ED) nurses has led to delays in patient transfer, increased numbers of acute care patients per nurse, and patient/family dissatisfaction with service. An innovative approach to resolving this issue is the introduction of a TEDI (Trauma-ED-Intensive Care Unit [ICU]) nurse, who provides care to critically ill or injured patients who have had their initial work-up and are awaiting inpatient bed placement.

Implementation: Nurses from the ED and the inpatient ICU worked together to define the role and to identify potential candidates for the position. Nurses serving in the role had to be experienced, flexible, and willing to care for critically ill patients in the ED's trauma bay. Existing full-time equivalent (FTE) positions were used to cover the busiest hours between noon and midnight.

In developing the role, consideration was given to the need for TEDI nurses to travel with patients to imaging services and to replacing the ICU nurse's FTE in the ICU. Efforts were made to assure that the TEDI nurseÆs time was used maximally, with the nurse floating to the ICUs to assist when the ED was less busy. A pager was provided to assure that the nurse could return to the ED if the situation changed and additional help was needed.

Outcomes: The addition of the TEDI nurse has resulted in a decrease in the number of patients assigned to each ED trauma nurse and staff morale has risen. Delays in transfer to ICU/step-down units have been reduced considerably. The availability of an expert nurse who is familiar with the ICU setting and has a focused assignment designed to facilitate transfer of patients from the ED to the inpatient setting has contributed to favorable outcomes.

Recommendations: The introduction of a TEDI nurse allows for maximum response to changes in care delivery demand and helps alleviate the burdens associated with short staffing in the ED. When developing the role, include time for orientation of the TEDI nurse to the ED and the ED nurses to the TEDI nurse's role and responsibilities. Develop a plan for assuring that the TEDI nurse's time is used effectively through availability in the ICUs when ED needs are reduced, but with the ability to move to the ED if circumstances change. With a well-designed role implementation plan, improved patient and staff outcomes will follow.

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.titleTEDI Nurse: Service Excellence Despite ED Nurse Shortagesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162489-
dc.description.abstract<table><tr><td colspan="2" class="item-title">TEDI Nurse: Service Excellence Despite ED Nurse Shortages</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">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Tefel, Wende, RN, C, CEN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Strong Memorial Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nurse Leader</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">8 Paddington Drive, Rochester, NY, 14624, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">585-275-1773</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Wende_Tefel@URMC.rochester.edu</td></tr><tr><td colspan="2" class="item-abstract">[Clinical Poster] Clinical Topic: The shortage of emergency department (ED) nurses has led to delays in patient transfer, increased numbers of acute care patients per nurse, and patient/family dissatisfaction with service. An innovative approach to resolving this issue is the introduction of a TEDI (Trauma-ED-Intensive Care Unit [ICU]) nurse, who provides care to critically ill or injured patients who have had their initial work-up and are awaiting inpatient bed placement. <br/><br/>Implementation: Nurses from the ED and the inpatient ICU worked together to define the role and to identify potential candidates for the position. Nurses serving in the role had to be experienced, flexible, and willing to care for critically ill patients in the ED's trauma bay. Existing full-time equivalent (FTE) positions were used to cover the busiest hours between noon and midnight. <br/><br/>In developing the role, consideration was given to the need for TEDI nurses to travel with patients to imaging services and to replacing the ICU nurse's FTE in the ICU. Efforts were made to assure that the TEDI nurse&AElig;s time was used maximally, with the nurse floating to the ICUs to assist when the ED was less busy. A pager was provided to assure that the nurse could return to the ED if the situation changed and additional help was needed.<br/><br/>Outcomes: The addition of the TEDI nurse has resulted in a decrease in the number of patients assigned to each ED trauma nurse and staff morale has risen. Delays in transfer to ICU/step-down units have been reduced considerably. The availability of an expert nurse who is familiar with the ICU setting and has a focused assignment designed to facilitate transfer of patients from the ED to the inpatient setting has contributed to favorable outcomes.<br/><br/>Recommendations: The introduction of a TEDI nurse allows for maximum response to changes in care delivery demand and helps alleviate the burdens associated with short staffing in the ED. When developing the role, include time for orientation of the TEDI nurse to the ED and the ED nurses to the TEDI nurse's role and responsibilities. Develop a plan for assuring that the TEDI nurse's time is used effectively through availability in the ICUs when ED needs are reduced, but with the ability to move to the ED if circumstances change. With a well-designed role implementation plan, improved patient and staff outcomes will follow. <br/><br/></td></tr></table>en_GB
dc.date.available2011-10-27T10:29:04Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:29:04Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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