Systematic Interventions for a Geriatric Network of Evaluation and Treatment (SIGNET)

2.50
Hdl Handle:
http://hdl.handle.net/10755/162752
Type:
Presentation
Title:
Systematic Interventions for a Geriatric Network of Evaluation and Treatment (SIGNET)
Abstract:
Systematic Interventions for a Geriatric Network of Evaluation and Treatment (SIGNET)
Conference Sponsor:Emergency Nurses Association
Conference Year:2000
Author:Mann, Arlene E., MSN, RN, CS
P.I. Institution Name:Cleveland Clinic Foundation
Contact Address:9500 Euclid Avenue, Cleveland, OH, 44106, USA
Contact Telephone:(216) 445-4595
Co-Authors:Diane Ailor, Marty S. Bakoss, Kriss Ann Loughman, Shawn Ulreich, and Lorraine C. Mion
Clinical Topic: In 1990 older adults (65+ years) comprised 12% of the population, but accounted for 15% of total emergency department (ED) visits. With the projected increase in elderly to 18.4% by 2025, the number of elderly in EDs is expected to increase proportionately. In addition, older adults require more time and resources. This practice project was developed to address problems of the older adult in the ED.

Implementation: In January 1998, a coordinated network of ED personnel, geriatric specialists, and community agencies was established. The project components included: 1) a two-stage systematic screening and case finding process within the EDs; 2) a formal liaison between the EDs and community agencies; and 3) community case management of high-risk older adults.

A Geriatric Clinical Nurse Specialist (GCNS) was placed in each of 4 EDs. Other participants included public and private community agencies that offer a range of home care services, and three geriatric assessment clinics.

Using a simple screening tool, ED nurses identify older patients with one or more of six risk factors. The GCNS then utilizes the SIGNET Geriatric Assessment Tool to assess patients with identified risk factors who are discharged home. When indicated, patients are referred to appropriate community agencies. A central database is maintained and includes data from both the 1st and 2nd stage screening, as well as administrative databases from each facility.

Outcomes: Results of the first 2 years of implementation showed that the number of referrals for patients discharged home from the ED increased from 0.4% during the 5-month baseline period to 2.1 % for a comparable period the 1st year. Recidivism decreased from 16% to 15%. In addition, the ED professional staffs knowledge of care issues and sensitivity to the geriatric patient increased.

Recommendations: This project demonstrated the impact of a systematic program to improve the care of the elderly patient. The variety of ED settings used demonstrates the applicability of this model to other EDs. [Clinical Poster Presentation]
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.titleSystematic Interventions for a Geriatric Network of Evaluation and Treatment (SIGNET)en_GB
dc.identifier.urihttp://hdl.handle.net/10755/162752-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Systematic Interventions for a Geriatric Network of Evaluation and Treatment (SIGNET)</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">2000</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Mann, Arlene E., MSN, RN, CS</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Cleveland Clinic Foundation</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">9500 Euclid Avenue, Cleveland, OH, 44106, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(216) 445-4595</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">manna@ccf.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Diane Ailor, Marty S. Bakoss, Kriss Ann Loughman, Shawn Ulreich, and Lorraine C. Mion</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: In 1990 older adults (65+ years) comprised 12% of the population, but accounted for 15% of total emergency department (ED) visits. With the projected increase in elderly to 18.4% by 2025, the number of elderly in EDs is expected to increase proportionately. In addition, older adults require more time and resources. This practice project was developed to address problems of the older adult in the ED.<br/><br/>Implementation: In January 1998, a coordinated network of ED personnel, geriatric specialists, and community agencies was established. The project components included: 1) a two-stage systematic screening and case finding process within the EDs; 2) a formal liaison between the EDs and community agencies; and 3) community case management of high-risk older adults.<br/><br/>A Geriatric Clinical Nurse Specialist (GCNS) was placed in each of 4 EDs. Other participants included public and private community agencies that offer a range of home care services, and three geriatric assessment clinics.<br/><br/>Using a simple screening tool, ED nurses identify older patients with one or more of six risk factors. The GCNS then utilizes the SIGNET Geriatric Assessment Tool to assess patients with identified risk factors who are discharged home. When indicated, patients are referred to appropriate community agencies. A central database is maintained and includes data from both the 1st and 2nd stage screening, as well as administrative databases from each facility.<br/><br/>Outcomes: Results of the first 2 years of implementation showed that the number of referrals for patients discharged home from the ED increased from 0.4% during the 5-month baseline period to 2.1 % for a comparable period the 1st year. Recidivism decreased from 16% to 15%. In addition, the ED professional staffs knowledge of care issues and sensitivity to the geriatric patient increased.<br/><br/>Recommendations: This project demonstrated the impact of a systematic program to improve the care of the elderly patient. The variety of ED settings used demonstrates the applicability of this model to other EDs. [Clinical Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:33:32Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:33:32Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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