2.50
Hdl Handle:
http://hdl.handle.net/10755/162708
Type:
Presentation
Title:
Utilizing PNPs to Improve Operations in a Pediatric Emergency Department
Abstract:
Utilizing PNPs to Improve Operations in a Pediatric Emergency Department
Conference Sponsor:Emergency Nurses Association
Conference Year:2008
Author:Miller, Jennifer, MS, RN, CPNP
P.I. Institution Name:Rochester General Hospital
Title:Nurse Manager/Lead Pediatric Nurse Practitioner
Contact Address:, Rochester, NY, 14621-, USA
Contact Telephone:(585) 922-9381
Purpose: Extended lengths of stay and increasing numbers of patients who leave without being seen or receiving treatment have negative effects on the care received in emergency departments. A Pediatric Nurse Practitioner (PNP) can help reduce this problem. This pilot study examines "How PNPs are used to decrease average length of stay and the number of patients who leave without being seen or treated through the use of a Pediatric Fast Track 4 hours a day."

Design: A quality improvement project utilizing a Fast Track program for a 3 week pilot.

Setting: This study was conducted in a 12-bed pediatric emergency department in a community hospital with 21,000 visits per year.

Participants/Subjects: All PNPs currently working in the Pediatric Emergency Department were invited to participate as providers. All patients that presented to the pediatric emergency department between the hours of 6pm and 10pm who were triaged as non-urgent were eligible to be seen by the Fast Track PNP provider.

Methods: Average length of stay (LOS) for discharged patients, number of patients who left without being seen (LWBS) and left without treatment (LWOT) were measured for 3 weeks prior to the start of the pilot program and during the 3 week pilot program. Staff satisfaction and workload data will be collected by questionnaire from providers, nurses, and technicians.

Results: The average number of LWOT was reduced from 0.55 patients per day to 0.25 (54.5%). The average number of LWBS was reduced from 1.25 patients per day to 0.95 (24.0%). The average LOS for discharged patients was reduced from 162 minutes to 139 minutes (14%). This increase in visits is associated with a $92,000 gain in annual revenue.

Recommendations: PNPs in this study were able to improve efficiencies by running a Fast Track program for only 4 hours a day. The PNP staffed Fast Track model is an efficient way to utilize PNPs and increase revenue. It is anticipated that staff and patient satisfaction will increase and perceived workload will decrease as measured by the survey that will be distributed to staff. A statistical analysis will be applied to determine significance of all results. The pilot study should be continued on a permanent basis and possibly expanded to cover more hours per day. More specific criteria for inclusion in Fast Track should be developed to streamline the triage process.
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.titleUtilizing PNPs to Improve Operations in a Pediatric Emergency Departmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/162708-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Utilizing PNPs to Improve Operations in a Pediatric Emergency Department</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">Miller, Jennifer, MS, RN, CPNP</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Rochester General Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nurse Manager/Lead Pediatric Nurse Practitioner</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">, Rochester, NY, 14621-, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(585) 922-9381</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jennifer.miller!viahealth.org</td></tr><tr><td colspan="2" class="item-abstract">Purpose: Extended lengths of stay and increasing numbers of patients who leave without being seen or receiving treatment have negative effects on the care received in emergency departments. A Pediatric Nurse Practitioner (PNP) can help reduce this problem. This pilot study examines &quot;How PNPs are used to decrease average length of stay and the number of patients who leave without being seen or treated through the use of a Pediatric Fast Track 4 hours a day.&quot;<br/><br/>Design: A quality improvement project utilizing a Fast Track program for a 3 week pilot.<br/><br/>Setting: This study was conducted in a 12-bed pediatric emergency department in a community hospital with 21,000 visits per year.<br/><br/>Participants/Subjects: All PNPs currently working in the Pediatric Emergency Department were invited to participate as providers. All patients that presented to the pediatric emergency department between the hours of 6pm and 10pm who were triaged as non-urgent were eligible to be seen by the Fast Track PNP provider.<br/><br/>Methods: Average length of stay (LOS) for discharged patients, number of patients who left without being seen (LWBS) and left without treatment (LWOT) were measured for 3 weeks prior to the start of the pilot program and during the 3 week pilot program. Staff satisfaction and workload data will be collected by questionnaire from providers, nurses, and technicians. <br/><br/>Results: The average number of LWOT was reduced from 0.55 patients per day to 0.25 (54.5%). The average number of LWBS was reduced from 1.25 patients per day to 0.95 (24.0%). The average LOS for discharged patients was reduced from 162 minutes to 139 minutes (14%). This increase in visits is associated with a $92,000 gain in annual revenue.<br/><br/>Recommendations: PNPs in this study were able to improve efficiencies by running a Fast Track program for only 4 hours a day. The PNP staffed Fast Track model is an efficient way to utilize PNPs and increase revenue. It is anticipated that staff and patient satisfaction will increase and perceived workload will decrease as measured by the survey that will be distributed to staff. A statistical analysis will be applied to determine significance of all results. The pilot study should be continued on a permanent basis and possibly expanded to cover more hours per day. More specific criteria for inclusion in Fast Track should be developed to streamline the triage process.</td></tr></table>en_GB
dc.date.available2011-10-27T10:32:47Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:32:47Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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