2.50
Hdl Handle:
http://hdl.handle.net/10755/164308
Category:
Abstract
Type:
Presentation
Title:
Is a Step-Down a Step Up? A Journey to Implementing a Successful Step-Down Unit
Author(s):
Bixby, Marcia; Boyd, Kirsten
Author Details:
Marcia Bixby, MS, RN, CS, CCRN, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA, email: nacnsorg@nacns.org; Kirsten Boyd, MHA, RN
Abstract:
Purpose: 1. Understand the key components necessary to the development of a step-down educational curriculum. 2. Appreciate the importance of a dedicated educational program to enhance successful implementation of a step-down unit. Significance: Medical centers nationwide face an existing challenge to creatively manage capacity demands and properly utilize critical care beds. The development of progressive care or step-down units has been identified as a way to decompress the critical care environment of patients needing hourly monitoring but not necessarily hourly interventions. Opening such a unit takes a multidisciplinary approach to ensure staff competencies, appropriate admissions, physician support, and advanced monitoring capabilities. We opened a neuro step-down a year ago and will take you through our journey from concept initiation to successes one year later. This process began with the collaboration of the critical care CNS, the neuroscience floor nurse manager, and the ICU attending. Design/Background/Rationale: The crisis related to shortage of critical care beds necessitates development of units where patients can receive closer observation and monitoring outside of the ICU arena. Developing an educational curriculum to assure successful patient care delivery requires a multidisciplinary team approach. Methods/Description: The ICU CNS and medical neuro NM collaborated in developing an educational program for staff to advance their clinical skills and knowledge to incorporate patients requiring intermediate care into the neuro medical floor. Findings/Outcomes: Collaboration by the CNS and NM, along with other disciplines, identified key components necessary for the development of a step-down unit. Utilizing a team approach created an environment that allowed for a smooth transition of patients from the ICU to the step-down unit. Conclusions: Collaboration of the CNS and NM in developing an educational curriculum for this new unit has resulted in improved patient outcomes, increased assessment skills of all staff, and decreased patient emergencies. Utilizing expert nurses within the facility as mentors helped to improve patient care as well as decrease anxiety as nurses embraced practice changes.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
CNS Leadership: Soaring to New Heights
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Salt Lake City, Utah, USA
Description:
Conference theme: CNS Leadership: Soaring to New Heights, held March 15-18, 2006 in Salt Lake City, Utah, 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.titleIs a Step-Down a Step Up? A Journey to Implementing a Successful Step-Down Uniten_GB
dc.contributor.authorBixby, Marciaen_US
dc.contributor.authorBoyd, Kirstenen_US
dc.author.detailsMarcia Bixby, MS, RN, CS, CCRN, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA, email: nacnsorg@nacns.org; Kirsten Boyd, MHA, RNen_US
dc.identifier.urihttp://hdl.handle.net/10755/164308-
dc.description.abstractPurpose: 1. Understand the key components necessary to the development of a step-down educational curriculum. 2. Appreciate the importance of a dedicated educational program to enhance successful implementation of a step-down unit. Significance: Medical centers nationwide face an existing challenge to creatively manage capacity demands and properly utilize critical care beds. The development of progressive care or step-down units has been identified as a way to decompress the critical care environment of patients needing hourly monitoring but not necessarily hourly interventions. Opening such a unit takes a multidisciplinary approach to ensure staff competencies, appropriate admissions, physician support, and advanced monitoring capabilities. We opened a neuro step-down a year ago and will take you through our journey from concept initiation to successes one year later. This process began with the collaboration of the critical care CNS, the neuroscience floor nurse manager, and the ICU attending. Design/Background/Rationale: The crisis related to shortage of critical care beds necessitates development of units where patients can receive closer observation and monitoring outside of the ICU arena. Developing an educational curriculum to assure successful patient care delivery requires a multidisciplinary team approach. Methods/Description: The ICU CNS and medical neuro NM collaborated in developing an educational program for staff to advance their clinical skills and knowledge to incorporate patients requiring intermediate care into the neuro medical floor. Findings/Outcomes: Collaboration by the CNS and NM, along with other disciplines, identified key components necessary for the development of a step-down unit. Utilizing a team approach created an environment that allowed for a smooth transition of patients from the ICU to the step-down unit. Conclusions: Collaboration of the CNS and NM in developing an educational curriculum for this new unit has resulted in improved patient outcomes, increased assessment skills of all staff, and decreased patient emergencies. Utilizing expert nurses within the facility as mentors helped to improve patient care as well as decrease anxiety as nurses embraced practice changes.en_GB
dc.date.available2011-10-27T11:45:58Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:45:58Z-
dc.conference.date2006en_US
dc.conference.nameCNS Leadership: Soaring to New Heightsen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationSalt Lake City, Utah, USAen_US
dc.descriptionConference theme: CNS Leadership: Soaring to New Heights, held March 15-18, 2006 in Salt Lake City, Utah, 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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