DEVELOPMENT OF A COMPREHENSIVE PATIENT CARE PLAN - FROM PRE-OPERATIVE AMBULATORY CENTER TO POST HOSPITAL DISCHARGE

2.50
Hdl Handle:
http://hdl.handle.net/10755/165184
Category:
Abstract
Type:
Presentation
Title:
DEVELOPMENT OF A COMPREHENSIVE PATIENT CARE PLAN - FROM PRE-OPERATIVE AMBULATORY CENTER TO POST HOSPITAL DISCHARGE
Author(s):
Boris, Lisa M.; Coyne, Margarita
Author Details:
Lisa M. Boris, RN, Nurse Manager, Roswell Park Cancer Institute, Buffalo, New York, USA, email: lisamarie.boris@roswellpark.org; Margarita Coyne, RN, BSN
Abstract:
In an oncology facility that is growing, we identified a problem with late discharge from our inpatient beds creating a barrier to admissions. This prompted a multidisciplinary group to examine the data for discharge. The review of data identified that less than 30 % of patients were actually discharged as expected. As patient acuity and volumes continued to increase the need for a highly efficient and streamlined discharge planning program was identified. A multidisciplinary team was convened to identify improvement strategies. The team included oncology nurses from the pre-surgical ambulatory setting and from the post-surgical inpatient area. In order to improve and enhance the process of patient care planning we have implemented a pilot project that ôtracksö the patient from initial access to ôfinalö discharge home. Discharge practices and times were examined determining gaps in patient flow. The team meets bi-weekly to evaluate the needs of patients and identify what new measures will be implemented. Team members developed processes and changes that have provided for improved efficiency of patient care during hospitalization. Patient post-surgical orders sets were completely rewritten with a focus on current evidence and eliminating barriers to the discharge process. The order sets are comprehensive and address the scope of care from pre-op to post-op. Patient education provided by the staff nurses prepares the oncology patient in the ambulatory centers for treatment or surgery in the inpatient areas. The pilot project was implemented with the Gastro Intestinal oncology service. GI ambulatory nurses and GI Inpatient nurses worked collaboratively to design a program that will be expanded to other oncology services. The inpatient and outpatient nursing staff have changed the delivery of oncology care by implementing anticipatory discharge orders and education upon primary nursing assessment. This presentation will include data pre and post implementation, including discharge times, patient satisfaction and patient complications. This material will be revealed to oncology nurses in any setting that have an interest in improving the integration of care provided to their patients.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
32nd Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Las Vegas, Nevada, 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.titleDEVELOPMENT OF A COMPREHENSIVE PATIENT CARE PLAN - FROM PRE-OPERATIVE AMBULATORY CENTER TO POST HOSPITAL DISCHARGEen_GB
dc.contributor.authorBoris, Lisa M.en_US
dc.contributor.authorCoyne, Margaritaen_US
dc.author.detailsLisa M. Boris, RN, Nurse Manager, Roswell Park Cancer Institute, Buffalo, New York, USA, email: lisamarie.boris@roswellpark.org; Margarita Coyne, RN, BSNen_US
dc.identifier.urihttp://hdl.handle.net/10755/165184-
dc.description.abstractIn an oncology facility that is growing, we identified a problem with late discharge from our inpatient beds creating a barrier to admissions. This prompted a multidisciplinary group to examine the data for discharge. The review of data identified that less than 30 % of patients were actually discharged as expected. As patient acuity and volumes continued to increase the need for a highly efficient and streamlined discharge planning program was identified. A multidisciplinary team was convened to identify improvement strategies. The team included oncology nurses from the pre-surgical ambulatory setting and from the post-surgical inpatient area. In order to improve and enhance the process of patient care planning we have implemented a pilot project that ôtracksö the patient from initial access to ôfinalö discharge home. Discharge practices and times were examined determining gaps in patient flow. The team meets bi-weekly to evaluate the needs of patients and identify what new measures will be implemented. Team members developed processes and changes that have provided for improved efficiency of patient care during hospitalization. Patient post-surgical orders sets were completely rewritten with a focus on current evidence and eliminating barriers to the discharge process. The order sets are comprehensive and address the scope of care from pre-op to post-op. Patient education provided by the staff nurses prepares the oncology patient in the ambulatory centers for treatment or surgery in the inpatient areas. The pilot project was implemented with the Gastro Intestinal oncology service. GI ambulatory nurses and GI Inpatient nurses worked collaboratively to design a program that will be expanded to other oncology services. The inpatient and outpatient nursing staff have changed the delivery of oncology care by implementing anticipatory discharge orders and education upon primary nursing assessment. This presentation will include data pre and post implementation, including discharge times, patient satisfaction and patient complications. This material will be revealed to oncology nurses in any setting that have an interest in improving the integration of care provided to their patients.en_GB
dc.date.available2011-10-27T12:14:01Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:14:01Z-
dc.conference.date2007en_US
dc.conference.name32nd Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationLas Vegas, Nevada, 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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