2.50
Hdl Handle:
http://hdl.handle.net/10755/182663
Category:
Abstract
Type:
Presentation
Title:
Guesting Area - An Emergency Department and Behavioral Health Services Collaboration
Author(s):
Waunch, Amy; Conley, Laura
Author Details:
Amy Waunch, MSN, FNP, CEN, St. Joseph Hospital, Orange, California, USA, email: amy.waunch@stjoe.org; Laura Conley, RN, BSN, MSN
Abstract:
Poster Presentation: In spite of increasing numbers of psychiatric patients presenting to the ED, locally available inpatient psychiatric beds decreased, leading to increased ED lengths of stay. This resulted in increased staff and bed resource utilization and a delay in initiation of definitive psychiatric care. A temporary holding area located within Behavioral Health Services (BHS) was created to house psychiatric patients awaiting admission or transfer. A multidisciplinary team including nurses and physicians from BHS and ED, security, and hospital administration developed the concept. The group gained approval from the County Departments of Health and Mental Health. Implementation began after locating and furnishing an appropriate area within BHS. A policy and procedure was developed; education was provided to staff members of both ED and BHS. Charting and tracking methods were developed. Although housed temporarily in BHS, the patient remains assigned to the ED. Outcome tracking since opening of the "Guesting Area" (March 2003) has included the number of hours of security watches, from a high of 347 hours per month before guesting to an average low of 65 hours during guesting months. Attempted or actual elopements, averaging 5 per year from the ED, have been nonexistent from the "Guesting Area." In addition, ED and BHS staff feedback has been very positive. In the current state of ED overcrowding including increased numbers of psychiatric patients, the "Guesting Area" has decreased the length of stay for psychiatric patients in the ED and has freed up resources to be utilized for other patients seeking emergency care.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2007
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Atlanta, Georgia, USA
Description:
"Connect, Empower and Celebrate" was the theme of the 11th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 3-5 October, 2007 at the Georgia World Congress Center in Atlanta, Georgia, 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.titleGuesting Area - An Emergency Department and Behavioral Health Services Collaborationen_GB
dc.contributor.authorWaunch, Amyen_US
dc.contributor.authorConley, Lauraen_US
dc.author.detailsAmy Waunch, MSN, FNP, CEN, St. Joseph Hospital, Orange, California, USA, email: amy.waunch@stjoe.org; Laura Conley, RN, BSN, MSNen_US
dc.identifier.urihttp://hdl.handle.net/10755/182663-
dc.description.abstractPoster Presentation: In spite of increasing numbers of psychiatric patients presenting to the ED, locally available inpatient psychiatric beds decreased, leading to increased ED lengths of stay. This resulted in increased staff and bed resource utilization and a delay in initiation of definitive psychiatric care. A temporary holding area located within Behavioral Health Services (BHS) was created to house psychiatric patients awaiting admission or transfer. A multidisciplinary team including nurses and physicians from BHS and ED, security, and hospital administration developed the concept. The group gained approval from the County Departments of Health and Mental Health. Implementation began after locating and furnishing an appropriate area within BHS. A policy and procedure was developed; education was provided to staff members of both ED and BHS. Charting and tracking methods were developed. Although housed temporarily in BHS, the patient remains assigned to the ED. Outcome tracking since opening of the "Guesting Area" (March 2003) has included the number of hours of security watches, from a high of 347 hours per month before guesting to an average low of 65 hours during guesting months. Attempted or actual elopements, averaging 5 per year from the ED, have been nonexistent from the "Guesting Area." In addition, ED and BHS staff feedback has been very positive. In the current state of ED overcrowding including increased numbers of psychiatric patients, the "Guesting Area" has decreased the length of stay for psychiatric patients in the ED and has freed up resources to be utilized for other patients seeking emergency care.en_GB
dc.date.available2011-10-28T15:34:23Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:34:23Z-
dc.conference.date2007en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationAtlanta, Georgia, USAen_US
dc.description"Connect, Empower and Celebrate" was the theme of the 11th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 3-5 October, 2007 at the Georgia World Congress Center in Atlanta, Georgia, 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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