2.50
Hdl Handle:
http://hdl.handle.net/10755/162903
Type:
Presentation
Title:
Emergency Department Outreach Nurse: A Continuity of Care Program
Abstract:
Emergency Department Outreach Nurse: A Continuity of Care Program
Conference Sponsor:Emergency Nurses Association
Conference Year:2006
Author:Gross, Carol, RN
P.I. Institution Name:Children's Hospital of Wisconsin
Title:Pediatric Nurse II, Outreach Program Nurse
Contact Address:9000 W. Wisconsin Ave., Wauwatosa, WI, 53201, USA
Contact Telephone:(414) 266-6324
Co-Authors:Vicky Reith, RN, MS, APRN, BC, CEN; Rena Szewczuga, RN; Mary Geoghan, RN, BSN, MSM; Mary Dietz, RN, BSN; Marlene Melzer-Lange, MD; Rose Jorgenson, RN, BSN
Clinical Topic: Like many emergency departments (EDs), the emergency department at this busy Midwest children's hospital lacked standardized procedures for contacting patients whose lab cultures and radiology reports came back positive. ED nurses were expected to follow up with patients while on shift, but often their duties did not permit time to do this. Physicians had handled call-backs previously, but found it interrupted patient care. Without a formal procedure in place, follow-up at our emergency department became inconsistent. This inconsistency generated concern among ED providers about their patients' care. In March 2003, ED nurses responded by developing a proposal for a standardized outreach program that would ensure daily reviews of medical reports and call backs, as appropriate, at a rate of 100%. Implementation: Guided by this proposal, a team of ED nurses, physicians and administrators defined duties and hours and developed collaborative practice protocols, standards of care, and forms for documentation. The resulting Outreach Program, now in place since 2003, calls for 1.4 FTE, from 8 a.m. to 4:30 p.m. daily, and is staffed primarily by three nurses. Patients needing follow-up care and education are now contacted by phone within 24 hours after discharge. Patients with positive test results who cannot be contacted within 48 hours are notified by mail or else additional phone numbers are sought from the primary physician to ensure that contact was made. The protocols and standards of care allow nurses to reinforce patient care and call in set prescriptions without involving ED physicians. The forms help format the phone conversation and standardize documentation of calls. Outcomes: With dedicated staff and standards, contact with patients needing follow-up care and education has increased to nearly 100%. In 2005, all patients visiting our ED with positive throat cultures and radiology reports were appropriately treated within 24-48 hours of their ED visits. Access to computerized patient records further enables Outreach Nurses to reinforce patient teaching, and medication use, and act as liaison to community physicians. Recommendations: Implementation of a continuity-of-care program can improve patient outcomes. Standardized procedures help ensure patients receive proper follow-up care and education. Such procedures can also help eliminate return visits to the emergency room, improve family and patient satisfaction, and reduce care provider concerns over their patients' care. The use of "standards of care" and "collaborative practice protocols" allows ED nurses to collaboratively provide care, thereby limiting physician involvement. To further improve patient outcomes, other program enhancements are planned, including developing additional practice protocols, tracking patient recidivism, and identifying patient education practices on discharge.
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.titleEmergency Department Outreach Nurse: A Continuity of Care Programen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162903-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Emergency Department Outreach Nurse: A Continuity of Care Program</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">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Gross, Carol, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Children's Hospital of Wisconsin</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Pediatric Nurse II, Outreach Program Nurse</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">9000 W. Wisconsin Ave., Wauwatosa, WI, 53201, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(414) 266-6324</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">cgross@chw.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Vicky Reith, RN, MS, APRN, BC, CEN; Rena Szewczuga, RN; Mary Geoghan, RN, BSN, MSM; Mary Dietz, RN, BSN; Marlene Melzer-Lange, MD; Rose Jorgenson, RN, BSN</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: Like many emergency departments (EDs), the emergency department at this busy Midwest children's hospital lacked standardized procedures for contacting patients whose lab cultures and radiology reports came back positive. ED nurses were expected to follow up with patients while on shift, but often their duties did not permit time to do this. Physicians had handled call-backs previously, but found it interrupted patient care. Without a formal procedure in place, follow-up at our emergency department became inconsistent. This inconsistency generated concern among ED providers about their patients' care. In March 2003, ED nurses responded by developing a proposal for a standardized outreach program that would ensure daily reviews of medical reports and call backs, as appropriate, at a rate of 100%. Implementation: Guided by this proposal, a team of ED nurses, physicians and administrators defined duties and hours and developed collaborative practice protocols, standards of care, and forms for documentation. The resulting Outreach Program, now in place since 2003, calls for 1.4 FTE, from 8 a.m. to 4:30 p.m. daily, and is staffed primarily by three nurses. Patients needing follow-up care and education are now contacted by phone within 24 hours after discharge. Patients with positive test results who cannot be contacted within 48 hours are notified by mail or else additional phone numbers are sought from the primary physician to ensure that contact was made. The protocols and standards of care allow nurses to reinforce patient care and call in set prescriptions without involving ED physicians. The forms help format the phone conversation and standardize documentation of calls. Outcomes: With dedicated staff and standards, contact with patients needing follow-up care and education has increased to nearly 100%. In 2005, all patients visiting our ED with positive throat cultures and radiology reports were appropriately treated within 24-48 hours of their ED visits. Access to computerized patient records further enables Outreach Nurses to reinforce patient teaching, and medication use, and act as liaison to community physicians. Recommendations: Implementation of a continuity-of-care program can improve patient outcomes. Standardized procedures help ensure patients receive proper follow-up care and education. Such procedures can also help eliminate return visits to the emergency room, improve family and patient satisfaction, and reduce care provider concerns over their patients' care. The use of &quot;standards of care&quot; and &quot;collaborative practice protocols&quot; allows ED nurses to collaboratively provide care, thereby limiting physician involvement. To further improve patient outcomes, other program enhancements are planned, including developing additional practice protocols, tracking patient recidivism, and identifying patient education practices on discharge.</td></tr></table>en_GB
dc.date.available2011-10-27T10:36:07Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:36:07Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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