2.50
Hdl Handle:
http://hdl.handle.net/10755/182244
Category:
Abstract
Type:
Presentation
Title:
The 1 Formula for an Express Admission Unit
Author(s):
Halsey, Kimberly
Author Details:
Kimberly Halsey, AN, RN, Miami Valley Hospital, Dayton, Ohio, USA, email: klhalsey@mvh.org
Abstract:
The 1 Formula for an Express Admission Unit Rising numbers of emergency room (ER) visits combined with increasing inpatient admissions from ER & surgery resulted in a volume & capacity mismatch. The house wide race for inpatient beds resulted in a 40 minute increase in ER length of stay (LOS) to 6.3 hours and delay of patient admission and treatment processes. The consequences were increasing hours of ER re-route, patient, family, nurse, physician and community dissatisfaction, and a negative impact on revenue. Based on evidence, this 800+ bed Level 1 Trauma center developed and implemented an Express Admission Unit (EAU). The EAU positioned in close proximity to the ER provides a variety of services including 1. Off loading ER inpatient admissions waiting for beds which opens beds for additional ER patients, 2. Admission assessment, treatment, medications, and diagnostics started before transfer to the inpatient bed to reduce delays in treatment and workload for the admission unit staff. The EAU RN staff, with Patient Care Technicians and Health Unit Coordinators provides comprehensive care as well as toileting, nutrition, and relief of pain until transfer. EAU outcomes include increased patient and staff satisfaction, reduced LOS in the ER, and reduced number of ER re-route hours. An unexpected benefit of the EAU has been the reduction in Post Anesthesia Recovery Room LOS and costs. For organizations considering opening an EAU, a 1:3 RN-Patient Ratio is recommended. Specific EAU admission criteria with adequate equipment and supplies ensure appropriate use and favorable patient outcomes.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009; 2009
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Louisville, Kentucky, USA
Description:
"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, 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.titleThe 1 Formula for an Express Admission Uniten_GB
dc.contributor.authorHalsey, Kimberlyen_US
dc.author.detailsKimberly Halsey, AN, RN, Miami Valley Hospital, Dayton, Ohio, USA, email: klhalsey@mvh.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182244-
dc.description.abstractThe 1 Formula for an Express Admission Unit Rising numbers of emergency room (ER) visits combined with increasing inpatient admissions from ER & surgery resulted in a volume & capacity mismatch. The house wide race for inpatient beds resulted in a 40 minute increase in ER length of stay (LOS) to 6.3 hours and delay of patient admission and treatment processes. The consequences were increasing hours of ER re-route, patient, family, nurse, physician and community dissatisfaction, and a negative impact on revenue. Based on evidence, this 800+ bed Level 1 Trauma center developed and implemented an Express Admission Unit (EAU). The EAU positioned in close proximity to the ER provides a variety of services including 1. Off loading ER inpatient admissions waiting for beds which opens beds for additional ER patients, 2. Admission assessment, treatment, medications, and diagnostics started before transfer to the inpatient bed to reduce delays in treatment and workload for the admission unit staff. The EAU RN staff, with Patient Care Technicians and Health Unit Coordinators provides comprehensive care as well as toileting, nutrition, and relief of pain until transfer. EAU outcomes include increased patient and staff satisfaction, reduced LOS in the ER, and reduced number of ER re-route hours. An unexpected benefit of the EAU has been the reduction in Post Anesthesia Recovery Room LOS and costs. For organizations considering opening an EAU, a 1:3 RN-Patient Ratio is recommended. Specific EAU admission criteria with adequate equipment and supplies ensure appropriate use and favorable patient outcomes.en_GB
dc.date.available2011-10-28T15:15:33Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:15:33Z-
dc.conference.date2009en_GB
dc.conference.date2009en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationLouisville, Kentucky, USAen_US
dc.description"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.en_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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