2.50
Hdl Handle:
http://hdl.handle.net/10755/306623
Category:
Abstract
Type:
Poster
Title:
Improving Overall Outcomes: Utilizing Paramedics in the Emergency Department
Author(s):
Dalton, Beckye; Conner, Cheryl R.
Lead Author STTI Affiliation:
Non-member
Author Details:
Beckye Dalton, MSN, RN, CEN, bsdalton@utmck.edu; Cheryl R. Conner, BSN, RN
Abstract:

Evidence-based Practice Abstract

Purpose: Medical Centers across the country are seeing significant increases in patient volume; the Emergency Department is no exception. The Emergency Department had a significant increase in patient volume by 13% from 2011-2012, from 70,000 to 80,424. This includes 10.75% increase in Emergency Medical Services patients and 5% in trauma patients. The Emergency Department recognized the need for Paramedics as Communication Specialist to facilitate movement of patients. The objective of this evidence-based project was to decrease lobby length of stay by having a designated person in charge of patient room assignments. In addition, this designated person will be in charge of patient intake to improve customer relations with referring facilities, and improve patient satisfaction.

Design: The design of the evidence-based project was an efficiency, staff development, and quality assurance project. The project is designed to utilize paramedics 12 hours/day during the highest patient volume hours to meet the projected goals. Two paramedics were chosen due to their rich clinical skills and knowledge and have the connection with the community to provide excellent communication. The paramedic assignment includes communicating and coordinating incoming Emergency Medical Service, coordinating patient transfers from referring hospitals, assisting with patient placement from the lobby and ambulances, and assuring proper paging is completed for traumas, ST Elevation Myocardial Infarctions, and Strokes.

Participants/Subjects: Participants include the Emergency Department personnel, patients, Emergency Medical Services personnel, and personnel from referring facilities.

Setting: A Level I Academic Trauma Center for adults and children serving as the tertiary referral center for 21 surrounding counties.

Methods: Evaluation of outcomes is reported daily to the leadership team through a Daily Metrics. The Daily Metrics consists of patient volume, lobby length of stay, overall length of stay, left without being seen, left without medical advice, and admissions. The leadership team reviews Press Ganey Customer satisfaction scores daily.

Results/ Outcomes: The addition of Paramedics has proven to decrease lobby length of stay by 2% from 2011 to 2012. Communication with Emergency Medical Services has improved, shown by 5% increase in patient arrival by ambulance. The role has shown subjective improvement in proper paging of traumas. It has shown quantified improvement in response time for ST Elevation Myocardial Infarctions which has improved to less than 35 minutes, and response by the Stroke Team is now less than 5 minutes.

Implications: Further research in the evidence-based project will be to have two additional paramedics to utilize coverage to 24 hours/day. The Emergency Department will continue to monitor the Daily Metrics for improvement. The subjective improvement in paging of traumas has defined a potential process improvement project to redefine the paging process. Education will then be provided on an individual basis.

Keywords:
Paramedics in the ED
Repository Posting Date:
9-Dec-2013
Date of Publication:
9-Dec-2013
Conference Date:
2013
Conference Name:
2013 ENA Annual Conference
Conference Host:
Emergency Nurses Association
Conference Location:
Nashville, Tennessee, USA
Description:
2013 ENA Annual Conference Theme: Safe Practice, Safe Care. Held at Gaylord Resort and 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.titleImproving Overall Outcomes: Utilizing Paramedics in the Emergency Departmenten_GB
dc.contributor.authorDalton, Beckyeen_GB
dc.contributor.authorConner, Cheryl R.en_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsBeckye Dalton, MSN, RN, CEN, bsdalton@utmck.edu; Cheryl R. Conner, BSN, RNen_GB
dc.identifier.urihttp://hdl.handle.net/10755/306623-
dc.description.abstract<p>Evidence-based Practice Abstract</p><p>Purpose: Medical Centers across the country are seeing significant increases in patient volume; the Emergency Department is no exception. The Emergency Department had a significant increase in patient volume by 13% from 2011-2012, from 70,000 to 80,424. This includes 10.75% increase in Emergency Medical Services patients and 5% in trauma patients. The Emergency Department recognized the need for Paramedics as Communication Specialist to facilitate movement of patients. The objective of this evidence-based project was to decrease lobby length of stay by having a designated person in charge of patient room assignments. In addition, this designated person will be in charge of patient intake to improve customer relations with referring facilities, and improve patient satisfaction.</p><p>Design: The design of the evidence-based project was an efficiency, staff development, and quality assurance project. The project is designed to utilize paramedics 12 hours/day during the highest patient volume hours to meet the projected goals. Two paramedics were chosen due to their rich clinical skills and knowledge and have the connection with the community to provide excellent communication. The paramedic assignment includes communicating and coordinating incoming Emergency Medical Service, coordinating patient transfers from referring hospitals, assisting with patient placement from the lobby and ambulances, and assuring proper paging is completed for traumas, ST Elevation Myocardial Infarctions, and Strokes.</p><p>Participants/Subjects: Participants include the Emergency Department personnel, patients, Emergency Medical Services personnel, and personnel from referring facilities.</p><p>Setting: A Level I Academic Trauma Center for adults and children serving as the tertiary referral center for 21 surrounding counties.</p><p>Methods: Evaluation of outcomes is reported daily to the leadership team through a Daily Metrics. The Daily Metrics consists of patient volume, lobby length of stay, overall length of stay, left without being seen, left without medical advice, and admissions. The leadership team reviews Press Ganey Customer satisfaction scores daily.</p><p>Results/ Outcomes: The addition of Paramedics has proven to decrease lobby length of stay by 2% from 2011 to 2012. Communication with Emergency Medical Services has improved, shown by 5% increase in patient arrival by ambulance. The role has shown subjective improvement in proper paging of traumas. It has shown quantified improvement in response time for ST Elevation Myocardial Infarctions which has improved to less than 35 minutes, and response by the Stroke Team is now less than 5 minutes.</p><p> Implications: Further research in the evidence-based project will be to have two additional paramedics to utilize coverage to 24 hours/day. The Emergency Department will continue to monitor the Daily Metrics for improvement. The subjective improvement in paging of traumas has defined a potential process improvement project to redefine the paging process. Education will then be provided on an individual basis.</p>en_GB
dc.subjectParamedics in the EDen_GB
dc.date.available2013-12-09T17:00:53Z-
dc.date.issued2013-12-09-
dc.date.accessioned2013-12-09T17:00:53Z-
dc.conference.date2013en_GB
dc.conference.name2013 ENA Annual Conferenceen_GB
dc.conference.hostEmergency Nurses Associationen_GB
dc.conference.locationNashville, Tennessee, USAen_GB
dc.description2013 ENA Annual Conference Theme: Safe Practice, Safe Care. Held at Gaylord Resort and 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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