A Transformational Approach for Delivering Patient Hand-off Report Using a Pull vs Push Methodology

2.50
Hdl Handle:
http://hdl.handle.net/10755/308353
Category:
Abstract
Type:
Presentation
Title:
A Transformational Approach for Delivering Patient Hand-off Report Using a Pull vs Push Methodology
Author(s):
Alliod, Barbara A; Schriver, Kydie E; Padolina-Ramirez, MaryAnn A; Brown, Frederick M
Lead Author STTI Affiliation:
N/A
Author Details:
Barbara A Alliod, MSN, AACNP-BC, CNS-BC, CPAN, Barbara_A_Alliod@rush.edu; Kydie E Schriver, BSN, BS in Athletic Training, ONC; MaryAnn A Padolina-Ramirez, BSN, 1996, Lewis University; Frederick M Brown, DNP, RN, ONC
Abstract:

Poster presented on: Saturday, November 16, 2013, Sunday, November 17, 2013

The traditional hand-off between RNs in specialized units, like the Post Anesthesia Recovery Room (PACU), and the floor, has always consisted of the PACU RN calling for report and then providing a description of the patient to the receiving RN. This method exercises a Push Methodology. But we questioned:  Is there another more efficient design that may be incorporated in the hand-off process, with the goal of getting a patient to their desired floor, utilizing the least amount of energy and time, minimizing wait times & maximizing patient satisfaction?

The purpose of this pilot study between a PACU and an Orthopedic Floor was to compare the length of time it took to transfer a patient out of a specialized unit to a floor bed using a Pull Methodology RN to RN hand-off report, rather than the traditional Push Methodology. The study hypothesized that the Pull Method would decrease wait times of the PACU staff to hand-off report & discharge a patient, better utilize staff recourses, improve throughput from the Operating Room, and increase staff & patient satisfaction.

Prior to the pilot, the Ready to Move time to occupied patient placement on a floor was 123.5 minutes. By week 4 of the pilot, Ready to Move to Occupied times dropped to 72 minutes, with overall PACU stay times at 156 minutes. In the 12th week of the study Ready to Move to Occupied times were at 74 minutes, with Total time at 163 minutes.

This successful pilot had dramatic effects on the busy PACU and Ortho Floor, allowing for improved throughput in and out of the Operating Room, better coordination of patient care through patient assignments, diminished waiting times for recovering patients who had met PACU discharge criteria, improved communication between healthcare providers, and increased patient, family and staff satisfaction.

Keywords:
Pull Methodology; Lean Management Principles in Practice
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
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.typePresentationen_GB
dc.titleA Transformational Approach for Delivering Patient Hand-off Report Using a Pull vs Push Methodologyen_GB
dc.contributor.authorAlliod, Barbara Aen_GB
dc.contributor.authorSchriver, Kydie Een_GB
dc.contributor.authorPadolina-Ramirez, MaryAnn Aen_GB
dc.contributor.authorBrown, Frederick Men_GB
dc.contributor.departmentN/Aen_GB
dc.author.detailsBarbara A Alliod, MSN, AACNP-BC, CNS-BC, CPAN, Barbara_A_Alliod@rush.edu; Kydie E Schriver, BSN, BS in Athletic Training, ONC; MaryAnn A Padolina-Ramirez, BSN, 1996, Lewis University; Frederick M Brown, DNP, RN, ONCen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308353-
dc.description.abstract<p>Poster presented on: Saturday, November 16, 2013, Sunday, November 17, 2013</p>The traditional hand-off between RNs in specialized units, like the Post Anesthesia Recovery Room (PACU), and the floor, has always consisted of the PACU RN calling for report and then providing a description of the patient to the receiving RN. This method exercises a <i>Push Methodology</i>. But we questioned:  Is there another more efficient design that may be incorporated in the hand-off process, with the goal of getting a patient to their desired floor, utilizing the least amount of energy and time, minimizing wait times & maximizing patient satisfaction? <p>The purpose of this pilot study between a PACU and an Orthopedic Floor was to compare the length of time it took to transfer a patient out of a specialized unit to a floor bed using a <i>Pull Methodology</i> RN to RN hand-off report, rather than the traditional <i>Push Methodology</i>. The study hypothesized that the Pull Method would decrease wait times of the PACU staff to hand-off report & discharge a patient, better utilize staff recourses, improve throughput from the Operating Room, and increase staff & patient satisfaction. <p>Prior to the pilot, the <i>Ready to Move</i> time to occupied patient placement on a floor was 123.5 minutes. By week 4 of the pilot, <i>Ready to Move</i> to Occupied times dropped to 72 minutes, with overall PACU stay times at 156 minutes. In the 12<sup>th</sup> week of the study <i>Ready to Move</i> to Occupied times were at 74 minutes, with Total time at 163 minutes. <p>This successful pilot had dramatic effects on the busy PACU and Ortho Floor, allowing for improved throughput in and out of the Operating Room, better coordination of patient care through patient assignments, diminished waiting times for recovering patients who had met PACU discharge criteria, improved communication between healthcare providers, and increased patient, family and staff satisfaction.en_GB
dc.subjectPull Methodologyen_GB
dc.subjectLean Management Principles in Practiceen_GB
dc.date.available2013-12-19T17:30:13Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:30:13Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_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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