2.50
Hdl Handle:
http://hdl.handle.net/10755/164099
Category:
Abstract
Type:
Presentation
Title:
Establishing S.A.F.E Units and Practices: A "Sitter" Reduction Plan that Works
Author(s):
Nadler-Moodie, Marlene
Author Details:
Marlene Nadler-Moodie, MSN, APRN, PMHCNS-BC, Scripps Mercy Hospital, San Diego, California, USA, email: nacnsorg@nacns.org
Abstract:
PURPOSE/OBJECTIVES: Specialty Adult Focused Environments, S.A.F.E units, offer a different and unique alternative to the use of constant observers, "sitters", for providing care for medical- surgical patients who require increased observation for a variety of safety concerns. SIGNIFICANCE: Ensuring safety for patients with increased safety needs, such as for agitation, high fall risk, delirium and confusion, vision or hearing impairments and inability to follow commands to not pull at intervention "lines" poses a challenge for nursing staff on busy medical-surgical units. The use of "sitters" is widespread but quite costly. Maintaining safe clinical practices while minimizing costs is needed in today's healthcare environment. BACKGROUND/RATIONALE: The design of the S.A.F.E units at Scripps Mercy Hospital in San Diego, CA, a 300 bed, inner city, trauma one center, hospital has demonstrated success since the first unit opened in 2004. There are now 6 units operating, all of which have reduced their "sitter" use. DESCRIPTION: The basic premise includes cohorting "like" patients in close proximity to each other so that staff members are able to attend to them frequently. The environment is fashioned to include additional diversion equipment, all patients are seen by an occupational therapist and all nursing staff attend education sessions regarding the care of this patient population. OUTCOME: There was an approximate cost savings of more than $500,000 between fiscal year '06/'07 and '07/'08 in sitter reduction, this trend continues. Interpretation/Conclusion: The initial vision which included creating a "sitter-free" environment which promotes autonomy and dignity for patients, and provides assurance for nursing staff that patients are cared for safely has not only succeeded on the first unit, but grown well beyond. IMPLICATIONS FOR PRACTICE: The Clinical Nurse Specialist has been instrumental in the development process, education and training for the staff, rounding on the units, and general nurturing the growth of the concept. S.A.F.E units are a practical and economical alternative approach for safe patient care and can be replicated in other facilities.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2010
Conference Name:
CNS as Interal Consultant: Influencing Local to Global Systems
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Portland, Oregon, USA
Description:
Conference theme: CNS as Internal Consultant: Influencing Local to Global Systems, held March 3 - 6, Portland, Oregon, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleEstablishing S.A.F.E Units and Practices: A "Sitter" Reduction Plan that Worksen_GB
dc.contributor.authorNadler-Moodie, Marleneen_US
dc.author.detailsMarlene Nadler-Moodie, MSN, APRN, PMHCNS-BC, Scripps Mercy Hospital, San Diego, California, USA, email: nacnsorg@nacns.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/164099-
dc.description.abstractPURPOSE/OBJECTIVES: Specialty Adult Focused Environments, S.A.F.E units, offer a different and unique alternative to the use of constant observers, "sitters", for providing care for medical- surgical patients who require increased observation for a variety of safety concerns. SIGNIFICANCE: Ensuring safety for patients with increased safety needs, such as for agitation, high fall risk, delirium and confusion, vision or hearing impairments and inability to follow commands to not pull at intervention "lines" poses a challenge for nursing staff on busy medical-surgical units. The use of "sitters" is widespread but quite costly. Maintaining safe clinical practices while minimizing costs is needed in today's healthcare environment. BACKGROUND/RATIONALE: The design of the S.A.F.E units at Scripps Mercy Hospital in San Diego, CA, a 300 bed, inner city, trauma one center, hospital has demonstrated success since the first unit opened in 2004. There are now 6 units operating, all of which have reduced their "sitter" use. DESCRIPTION: The basic premise includes cohorting "like" patients in close proximity to each other so that staff members are able to attend to them frequently. The environment is fashioned to include additional diversion equipment, all patients are seen by an occupational therapist and all nursing staff attend education sessions regarding the care of this patient population. OUTCOME: There was an approximate cost savings of more than $500,000 between fiscal year '06/'07 and '07/'08 in sitter reduction, this trend continues. Interpretation/Conclusion: The initial vision which included creating a "sitter-free" environment which promotes autonomy and dignity for patients, and provides assurance for nursing staff that patients are cared for safely has not only succeeded on the first unit, but grown well beyond. IMPLICATIONS FOR PRACTICE: The Clinical Nurse Specialist has been instrumental in the development process, education and training for the staff, rounding on the units, and general nurturing the growth of the concept. S.A.F.E units are a practical and economical alternative approach for safe patient care and can be replicated in other facilities.en_GB
dc.date.available2011-10-27T11:42:00Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:42:00Z-
dc.conference.date2010en_US
dc.conference.nameCNS as Interal Consultant: Influencing Local to Global Systemsen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationPortland, Oregon, USAen_US
dc.descriptionConference theme: CNS as Internal Consultant: Influencing Local to Global Systems, held March 3 - 6, Portland, Oregon, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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