Multipurpose, Short Visit Area Increases Patient Satisfaction, Efficiency and Productivity in Outpatient Medical Oncology

2.50
Hdl Handle:
http://hdl.handle.net/10755/164791
Category:
Abstract
Type:
Presentation
Title:
Multipurpose, Short Visit Area Increases Patient Satisfaction, Efficiency and Productivity in Outpatient Medical Oncology
Author(s):
Proto, Frances; Watcke, Sandra
Author Details:
Frances Proto, RN, Staff Nurse, Yale - New Haven Hospital, New Haven, Connecticut, USA, email: fproto@comcast.net; Sandra Watcke, MSN, RN, CRNI
Abstract:
Clinical/Evidence Based Practice: Nurses and patients were frustrated by inefficient patient flow in our outpatient treatment area. Census data revealed a high volume of short visit treatments added to the schedule daily, resulting in schedule disruption and increased wait time. The majority required central access care. Patients receiving non chemotherapy support drugs were unnecessarily occupying a chemotherapy chair, reducing chemotherapy efficiency. A decision was made to staff and appropriately schedule a short visit treatment area to improve flow. The purpose was to describe the impact of a short visit treatment area on patient satisfaction, efficiency and productivity in an outpatient treatment center. Visit length was established as a 15 minute visit in an area staffed by one nurse and one patient care associate, caring for two patients every 15 minutes. Initially, appropriate populations were identified as those requiring phlebotomy or supportive medications such as hormone injections, colony stimulating agents, anticoagulants, antiemetics, antidiarrheals, and vaccines. Access and maintenance of central lines was provided. Populations expanded to include pleuritic and ascitic fluid drainage via Denver catheter, wound site evaluations and dressings. Treatment support functions added were pre- chemotherapy hydration and antiemetics, blood transfusion set up, and analgesics. Clinical trials are supported in this area with labs, EKG, and pharmacokinetics. Acute care triage with fluid resuscitation and admission can be provided. This room has been very effective in reducing overall wait times and increasing patient satisfaction as evidenced by positive statements on Press Ganey« survey. Continuity of care is appreciated with one nurse in charge of this area. Nurses are more satisfied with the increased efficiency of patient schedules, chemotherapy and transfusion set up, and no short treatment interruptions. Short visit treatment volumes have doubled from 25-50 patients/day. Enhanced productivity is evidenced by the outpatient treatment center absorbing a 20% increase in volume without additional treatment spaces. Flexibility is an essential asset of this area to efficiently meet a wide variety of treatment needs. Nurses require strong skills in assessment, procedures, patient education and must thrive in a rapid paced environment. The successful multipurpose treatment area is included in our new cancer hospital design with expanded space and staffing.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2009
Conference Name:
34th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
San Antonio, Texas, 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.titleMultipurpose, Short Visit Area Increases Patient Satisfaction, Efficiency and Productivity in Outpatient Medical Oncologyen_GB
dc.contributor.authorProto, Francesen_US
dc.contributor.authorWatcke, Sandraen_US
dc.author.detailsFrances Proto, RN, Staff Nurse, Yale - New Haven Hospital, New Haven, Connecticut, USA, email: fproto@comcast.net; Sandra Watcke, MSN, RN, CRNIen_US
dc.identifier.urihttp://hdl.handle.net/10755/164791-
dc.description.abstractClinical/Evidence Based Practice: Nurses and patients were frustrated by inefficient patient flow in our outpatient treatment area. Census data revealed a high volume of short visit treatments added to the schedule daily, resulting in schedule disruption and increased wait time. The majority required central access care. Patients receiving non chemotherapy support drugs were unnecessarily occupying a chemotherapy chair, reducing chemotherapy efficiency. A decision was made to staff and appropriately schedule a short visit treatment area to improve flow. The purpose was to describe the impact of a short visit treatment area on patient satisfaction, efficiency and productivity in an outpatient treatment center. Visit length was established as a 15 minute visit in an area staffed by one nurse and one patient care associate, caring for two patients every 15 minutes. Initially, appropriate populations were identified as those requiring phlebotomy or supportive medications such as hormone injections, colony stimulating agents, anticoagulants, antiemetics, antidiarrheals, and vaccines. Access and maintenance of central lines was provided. Populations expanded to include pleuritic and ascitic fluid drainage via Denver catheter, wound site evaluations and dressings. Treatment support functions added were pre- chemotherapy hydration and antiemetics, blood transfusion set up, and analgesics. Clinical trials are supported in this area with labs, EKG, and pharmacokinetics. Acute care triage with fluid resuscitation and admission can be provided. This room has been very effective in reducing overall wait times and increasing patient satisfaction as evidenced by positive statements on Press Ganey« survey. Continuity of care is appreciated with one nurse in charge of this area. Nurses are more satisfied with the increased efficiency of patient schedules, chemotherapy and transfusion set up, and no short treatment interruptions. Short visit treatment volumes have doubled from 25-50 patients/day. Enhanced productivity is evidenced by the outpatient treatment center absorbing a 20% increase in volume without additional treatment spaces. Flexibility is an essential asset of this area to efficiently meet a wide variety of treatment needs. Nurses require strong skills in assessment, procedures, patient education and must thrive in a rapid paced environment. The successful multipurpose treatment area is included in our new cancer hospital design with expanded space and staffing.en_GB
dc.date.available2011-10-27T12:07:04Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:07:04Z-
dc.conference.date2009en_US
dc.conference.name34th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationSan Antonio, Texas, 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.-
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