Multidisciplinary development of a "Fast Track" Module utilized during Triage in an Urgent Care Setting

2.50
Hdl Handle:
http://hdl.handle.net/10755/164833
Category:
Abstract
Type:
Presentation
Title:
Multidisciplinary development of a "Fast Track" Module utilized during Triage in an Urgent Care Setting
Author(s):
Vega, Rose; McNulty, Elizabeth; Kennedy, Janine
Author Details:
Rose Vega, Registered Nurse, Memorial Sloan Kettering Cancer Center, New York, New York, USA, email: vegar2277@gmail.com; Elizabeth McNulty, RN; Janine Kennedy, CNS
Abstract:
Clinical/Evidence Based Practice: The Urgent Care Center at a comprehensive cancer center has seen an increase in volume and acuity in our patient population. At times, patients with stable, minor medical complaints are being mixed with more complex patients, thus experiencing increased wait times and decrease patient satisfaction. With use of a Medical Board and reviewed management system that allows nurses to enter laboratory, pathology order set and then designating these patients to Fast Track allows for proper prioritization. To address these issues, the UCC implemented a Fast Track area and guidelines. A multidisciplinary group met to delineate which patients could be seen in the fast track area and what processes should be in place to make the care delivery efficient yet comprehensive. It has also addressed concerns about capacity during peak demand. The Multidisciplinary team consisted of UCC nurses, physicians, and case management. The group developed guidelines for the UCC triage nurse to assist him/her in streamlining patients chief complaints towards the Fast Track area. The FT area is staffed with one UCC RN and one UCC physician to care for a 3 bed area. The patients seen in this area typically are stable and have a high rate of discharge from the UCC. For example, patients who arrived with having an asymptomatic DVT found on a routine ultrasound, are brought to this area for assessment and education on the management of the DVT. With the involvement of case management, we are able to provide patients with more services at home, thus eliminating they need for admission. The Fast Track guidelines developed were effective in reducing wait times thus increasing patient satisfaction, patient safety and increase staff satisfaction. Ongoing data collection will allow us to constantly revise and update Fast Track role and standards. Most recent implementation of case management, financial savings have been seen by decreasing length of stay and admission. Addressing current times in reference to growing number of oncology patients and increase co-morbidity's our guidelines prove useful in creating a universal module. It ensures patient scenario is handled as a case by case, has ensured a successful program and insures optimal care with true use of a comprehensive medical team, utilizing every resource available.
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.titleMultidisciplinary development of a "Fast Track" Module utilized during Triage in an Urgent Care Settingen_GB
dc.contributor.authorVega, Roseen_US
dc.contributor.authorMcNulty, Elizabethen_US
dc.contributor.authorKennedy, Janineen_US
dc.author.detailsRose Vega, Registered Nurse, Memorial Sloan Kettering Cancer Center, New York, New York, USA, email: vegar2277@gmail.com; Elizabeth McNulty, RN; Janine Kennedy, CNSen_US
dc.identifier.urihttp://hdl.handle.net/10755/164833-
dc.description.abstractClinical/Evidence Based Practice: The Urgent Care Center at a comprehensive cancer center has seen an increase in volume and acuity in our patient population. At times, patients with stable, minor medical complaints are being mixed with more complex patients, thus experiencing increased wait times and decrease patient satisfaction. With use of a Medical Board and reviewed management system that allows nurses to enter laboratory, pathology order set and then designating these patients to Fast Track allows for proper prioritization. To address these issues, the UCC implemented a Fast Track area and guidelines. A multidisciplinary group met to delineate which patients could be seen in the fast track area and what processes should be in place to make the care delivery efficient yet comprehensive. It has also addressed concerns about capacity during peak demand. The Multidisciplinary team consisted of UCC nurses, physicians, and case management. The group developed guidelines for the UCC triage nurse to assist him/her in streamlining patients chief complaints towards the Fast Track area. The FT area is staffed with one UCC RN and one UCC physician to care for a 3 bed area. The patients seen in this area typically are stable and have a high rate of discharge from the UCC. For example, patients who arrived with having an asymptomatic DVT found on a routine ultrasound, are brought to this area for assessment and education on the management of the DVT. With the involvement of case management, we are able to provide patients with more services at home, thus eliminating they need for admission. The Fast Track guidelines developed were effective in reducing wait times thus increasing patient satisfaction, patient safety and increase staff satisfaction. Ongoing data collection will allow us to constantly revise and update Fast Track role and standards. Most recent implementation of case management, financial savings have been seen by decreasing length of stay and admission. Addressing current times in reference to growing number of oncology patients and increase co-morbidity's our guidelines prove useful in creating a universal module. It ensures patient scenario is handled as a case by case, has ensured a successful program and insures optimal care with true use of a comprehensive medical team, utilizing every resource available.en_GB
dc.date.available2011-10-27T12:07:50Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:07:50Z-
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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