Developing a Standardized SBAR Handoff from Urgent Care to the Emergency Department

2.50
Hdl Handle:
http://hdl.handle.net/10755/306560
Category:
Abstract
Type:
Poster
Title:
Developing a Standardized SBAR Handoff from Urgent Care to the Emergency Department
Author(s):
McGrath-Chase, Kimberly; Dempsey, Kayla; Camp, Patti; Kutzer, Pamela D.; Thies, Kathleen M.; Hatch, Sharon; Breidt, Sharon; Bourque, Sarah Beth; Kelliher, Rebecca; Zink, Katyanne
Lead Author STTI Affiliation:
Non-member
Author Details:
Kimberly McGrath-Chase, LPN, KMcgrath-Chase@Elliot-HS.org; Kayla Dempsey, LPN, LPN; Patti Camp, ADN, RN; Pamela D. Kutzer, DNP, ACNP-BC, FNP-BC, NP; Kathleen M. Thies, PhD, RN; Sharon Hatch, LPN, LPN; Sharon Breidt, BSN, RN, EMT-I, CEN; Sarah Beth Bourque, BSN, RN; Rebecca Kelliher, BSN, RN, CPN; Katyanne Zink, BSN, RN
Abstract:

Evidence-based Practice Abstract

Purpose: Nursing staff were frustrated with the haphazard and inefficient process for handing off patients for transfer from new Urgent Care (UC) sites to the Emergency Department (ED). To standardize a handoff process that was timely and effective, Unit Practice Councils (UPCs) implemented electronic SBAR.

Design: This was a quality improvement project that aligned with our Professional Practice Model component Safe and Effective Care Delivery System: improve workflow efficiency and communication about patient status. UC staff reduced time on the phone waiting to speak with an ED nurse, and ensured the ED received the information it needed.

Setting: Urban Level II Trauma Center seeing approximately 60, 000 visits per year along with two associated health system Urgent Care centers collectively seeing approximately 30, 000 visits per year.

Participants/Subjects: The participants included the ED and UC site nursing staff. This was a quality improvement project related to handoff procedures that did not directly involve patients therefore did not require IRB approval. Staff surveys were submitted anonymously.

Methods: Using quality improvement methodology, Urgent Care UPC: met with administration about legal implications of transfer, especially by private vehicle; surveyed UC and ED staff about needs and expectations for handoff; created a flowchart of the current handoff to ED process; tallied time spent on the phone waiting to speak with an ED nurse; met with the ED UPC to standardize an SBAR note with information the ED needed about a transfer patient; worked with the chief of nursing informatics to put SBAR into the electronic medical record, EPIC, and make needed changes to the paging system; and worked with ambulance services to streamline request for transport. The new process prompts ED staff to call the UC nurse for verbal report as needed. After small trials, the UC UPC posted a flow chart of the new process, set a go-live date, developed education packets for UC and ED staff, followed up with one on one education sessions, and placed prompt cards by the phone and computers.

Results/Outcomes: Evaluation: post implementation staff surveys, tallies of time spent on the SBAR note, and audits of SBAR notes for completeness. The new process saved 17 hours of nursing time in the first three weeks. Satisfaction is high, audits show almost 100% compliance with process and completeness of SBAR.

Implications: The new process saved time and patient information was accurate and comprehensive. It has been so successful that it is the foundation for redesign of transfer from the ED to hospital units. The UC UPC established credibility with staff and validated the effectiveness of quality improvement methods.

Keywords:
Urgent Care Handoff to ED
Repository Posting Date:
9-Dec-2013
Date of Publication:
9-Dec-2013
Conference Date:
2013
Conference Name:
2013 ENA Leadership Conference
Conference Host:
Emergency Nurses Association
Conference Location:
Ft. Lauderdale, Florida, USA
Description:
2013 ENA Leadership Conference Theme: Shape the Future. Held at the Greater Fort Lauderdale Broward County Convention Center
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.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePosteren_GB
dc.titleDeveloping a Standardized SBAR Handoff from Urgent Care to the Emergency Departmenten_GB
dc.contributor.authorMcGrath-Chase, Kimberlyen_GB
dc.contributor.authorDempsey, Kaylaen_GB
dc.contributor.authorCamp, Pattien_GB
dc.contributor.authorKutzer, Pamela D.en_GB
dc.contributor.authorThies, Kathleen M.en_GB
dc.contributor.authorHatch, Sharonen_GB
dc.contributor.authorBreidt, Sharonen_GB
dc.contributor.authorBourque, Sarah Bethen_GB
dc.contributor.authorKelliher, Rebeccaen_GB
dc.contributor.authorZink, Katyanneen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsKimberly McGrath-Chase, LPN, KMcgrath-Chase@Elliot-HS.org; Kayla Dempsey, LPN, LPN; Patti Camp, ADN, RN; Pamela D. Kutzer, DNP, ACNP-BC, FNP-BC, NP; Kathleen M. Thies, PhD, RN; Sharon Hatch, LPN, LPN; Sharon Breidt, BSN, RN, EMT-I, CEN; Sarah Beth Bourque, BSN, RN; Rebecca Kelliher, BSN, RN, CPN; Katyanne Zink, BSN, RNen_GB
dc.identifier.urihttp://hdl.handle.net/10755/306560-
dc.description.abstract<p>Evidence-based Practice Abstract</p><p>Purpose: Nursing staff were frustrated with the haphazard and inefficient process for handing off patients for transfer from new Urgent Care (UC) sites to the Emergency Department (ED). To standardize a handoff process that was timely and effective, Unit Practice Councils (UPCs) implemented electronic SBAR.</p><p>Design: This was a quality improvement project that aligned with our Professional Practice Model component Safe and Effective Care Delivery System: improve workflow efficiency and communication about patient status. UC staff reduced time on the phone waiting to speak with an ED nurse, and ensured the ED received the information it needed.</p><p>Setting: Urban Level II Trauma Center seeing approximately 60, 000 visits per year along with two associated health system Urgent Care centers collectively seeing approximately 30, 000 visits per year.</p><p>Participants/Subjects: The participants included the ED and UC site nursing staff. This was a quality improvement project related to handoff procedures that did not directly involve patients therefore did not require IRB approval. Staff surveys were submitted anonymously.</p><p>Methods: Using quality improvement methodology, Urgent Care UPC: met with administration about legal implications of transfer, especially by private vehicle; surveyed UC and ED staff about needs and expectations for handoff; created a flowchart of the current handoff to ED process; tallied time spent on the phone waiting to speak with an ED nurse; met with the ED UPC to standardize an SBAR note with information the ED needed about a transfer patient; worked with the chief of nursing informatics to put SBAR into the electronic medical record, EPIC, and make needed changes to the paging system; and worked with ambulance services to streamline request for transport. The new process prompts ED staff to call the UC nurse for verbal report as needed. After small trials, the UC UPC posted a flow chart of the new process, set a go-live date, developed education packets for UC and ED staff, followed up with one on one education sessions, and placed prompt cards by the phone and computers.</p><p>Results/Outcomes: Evaluation: post implementation staff surveys, tallies of time spent on the SBAR note, and audits of SBAR notes for completeness. The new process saved 17 hours of nursing time in the first three weeks. Satisfaction is high, audits show almost 100% compliance with process and completeness of SBAR.</p><p>Implications: The new process saved time and patient information was accurate and comprehensive. It has been so successful that it is the foundation for redesign of transfer from the ED to hospital units. The UC UPC established credibility with staff and validated the effectiveness of quality improvement methods.</p>en_GB
dc.subjectUrgent Care Handoff to EDen_GB
dc.date.available2013-12-09T16:59:47Z-
dc.date.issued2013-12-09-
dc.date.accessioned2013-12-09T16:59:47Z-
dc.conference.date2013en_GB
dc.conference.name2013 ENA Leadership Conferenceen_GB
dc.conference.hostEmergency Nurses Associationen_GB
dc.conference.locationFt. Lauderdale, Florida, USAen_GB
dc.description2013 ENA Leadership Conference Theme: Shape the Future. Held at the Greater Fort Lauderdale Broward County Convention Centeren_GB
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.en_GB
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