2.50
Hdl Handle:
http://hdl.handle.net/10755/182615
Category:
Abstract
Type:
Presentation
Title:
The Impact of an Admission Unit on Patient Throughput and ED Wait Times
Author(s):
Wallace, Patsy; Braun, Judith
Author Details:
Patsy Wallace, St. Joseph's Candler Health System, Savannah, Georgia, USA, email: wallacep@sjchs.org; Judith Braun, BS, BSN, RN, BC
Abstract:
Podium Presentation: BRIEF DESCRIPTION: This session will focus on practices utilized to improve patient flow from admission to discharge. ABSTRACT: In 2005, a Magnet Community two system hospital faced the reality that its capacity problems were intractable. Local community hospitals were diverting ambulances weekly, with wait times for an inpatient bed in the ED as much as six hours. After several unsuccessful attempts at improving patient flow, patient throughput was identified by the system as a priority and included in the strategic plan for improvement. The purpose of this project was to redesign throughput as a whole continuum of patient care beginning with an Admissions Unit and ending with a Discharge Lounge. A multidisciplinary team comprised of nurses from the ED and the acute care setting, as well as a physician champion, met monthly over a six month period. Today this 350 bed tertiary facility has a 90% or better occupancy rate most of the time, and has improved flow dramatically. Patients arriving in the ED, who require an inpatient bed, are transferred to the Admission Unit to await bed assignment within one hour. Once there, nurses complete admission paperwork, verify physician orders, develop plans of care, start IV's, and draw labs. In addition, any urgent medications or treatments are administered. This gives the physicians the information needed to initiate the patient's plan of care, not to mention facilitating the transition of patient flow from the admissions phase to inpatient. Once the patient reaches the floor, time spent entering online documentation and performing essential tasks has been cut substantially, allowing more quality time for nurses to spend with patients at the bedside.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2008
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Salt Lake City, Utah, USA
Description:
The 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 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.titleThe Impact of an Admission Unit on Patient Throughput and ED Wait Timesen_GB
dc.contributor.authorWallace, Patsyen_US
dc.contributor.authorBraun, Judithen_US
dc.author.detailsPatsy Wallace, St. Joseph's Candler Health System, Savannah, Georgia, USA, email: wallacep@sjchs.org; Judith Braun, BS, BSN, RN, BCen_US
dc.identifier.urihttp://hdl.handle.net/10755/182615-
dc.description.abstractPodium Presentation: BRIEF DESCRIPTION: This session will focus on practices utilized to improve patient flow from admission to discharge. ABSTRACT: In 2005, a Magnet Community two system hospital faced the reality that its capacity problems were intractable. Local community hospitals were diverting ambulances weekly, with wait times for an inpatient bed in the ED as much as six hours. After several unsuccessful attempts at improving patient flow, patient throughput was identified by the system as a priority and included in the strategic plan for improvement. The purpose of this project was to redesign throughput as a whole continuum of patient care beginning with an Admissions Unit and ending with a Discharge Lounge. A multidisciplinary team comprised of nurses from the ED and the acute care setting, as well as a physician champion, met monthly over a six month period. Today this 350 bed tertiary facility has a 90% or better occupancy rate most of the time, and has improved flow dramatically. Patients arriving in the ED, who require an inpatient bed, are transferred to the Admission Unit to await bed assignment within one hour. Once there, nurses complete admission paperwork, verify physician orders, develop plans of care, start IV's, and draw labs. In addition, any urgent medications or treatments are administered. This gives the physicians the information needed to initiate the patient's plan of care, not to mention facilitating the transition of patient flow from the admissions phase to inpatient. Once the patient reaches the floor, time spent entering online documentation and performing essential tasks has been cut substantially, allowing more quality time for nurses to spend with patients at the bedside.en_GB
dc.date.available2011-10-28T15:32:11Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:32:11Z-
dc.conference.date2008en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationSalt Lake City, Utah, USAen_US
dc.descriptionThe 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, 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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