2.50
Hdl Handle:
http://hdl.handle.net/10755/324157
Category:
Abstract
Type:
Presentation
Title:
Emergency Nursing and Physical Therapy: A Powerful Stride Forward
Author(s):
Henkelman, Kathleen M.; Stahl,Blake W.
Author Details:
Kathleen M. Henkelman, MSN, RN, CEN, email: kathleen.henkelman@alexian.net; Blake W. Stahl, MBA, PT
Abstract:
Evidence-based Practice Abstract Purpose: The emergency department (ED) and physical therapy (PT) have partnered together to provide a PT evaluation prior to patients being discharged from the ED. The goals of this new service are multi-fold: increase patient safety and satisfaction; decrease unwarranted admissions and unscheduled ED returns; differentiate ED service offerings from area hospitals. Design: This is a process and quality improvement project with potential cost reduction and increased revenue implications. Setting: Community hospital: Level II Trauma; Comprehensive Stroke Center. Participants/Subjects: ED patients with: spine pain; bone fractures; joint sprains; dizziness; vertigo; lightheadedness; fallers; and chronic fallers, are all potential referral candidates for a PT evaluation prior to determining final disposition and/or discharge from the ED. Methods: In order to improve the quality of care for ED patients, the PT department staffs the ED with a therapist Monday through Friday from 1100-1930 to receive patients referred by the ED physician/provider for evaluation. The 30-45 minute evaluation can be achieved concurrently with the patient’s ED visit in order to determine if the patient can be safely discharged or if an admission is truly warranted. The therapist can also see the patient post-discharge if it is clear that going home is the plan of care. If the initial evaluation indicates the need for outpatient therapy, the patient is scheduled at that time. This decreases the need for the patient to make an additional phone call and increases the likelihood that the patient will receive the follow-up care he/she needs. Providing the initial evaluation on-site also improves the probability that the patient will utilize the hospital system’s therapy services versus an outside vendor, thus increasing brand loyalty and capturing volume. During off hours the ED is providing PT with the patient’s information so they can call to schedule an outpatient evaluation. Education for the ED physicians, providers, and nurses has included identifying the appropriate patient types eligible for referral. Increasing the knowledge base in regard to physical rehabilitation services, from the typical orthopedic populations, to include the balance and vestibular issues remains an ongoing learning curve. Results/Outcomes: At the 60 day mark from the start of this initiative, our volumes indicate that further encouragement of providers to refer is necessary. The therapists are also maintaining a proactive stance by rounding on the physicians and providers to remind them of the service. All referrals have been appropriate and patient feedback has been extremely positive about having both services in one place at the same time. Implications: The safety and satisfaction of the patient is of utmost concern in the ED and this initiative can definitely help with the improvement of both. Many ED nurses have discharged a patient while crossing his/her fingers hoping the patient wouldn’t end up right back in the department in a matter of hours. Physical therapists working alongside the ED staff definitely fill a gap, providing a safer transition to home, thus decreasing the potential for the patient to “bounce back."
Keywords:
ED Partners with Physical Therapy
Repository Posting Date:
4-Aug-2014
Date of Publication:
4-Aug-2014
Conference Date:
2014
Conference Name:
2014 ENA Leadership Conference
Conference Host:
Emergency Nurses Association
Conference Location:
Phoenix, Arizona USA
Description:
2014 ENA Leadership Conference Theme: Safe Practice, Safe Care. Held at the Phoenix 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. 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.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleEmergency Nursing and Physical Therapy: A Powerful Stride Forwarden_GB
dc.contributor.authorHenkelman, Kathleen M.en_GB
dc.contributor.authorStahl,Blake W.en_GB
dc.author.detailsKathleen M. Henkelman, MSN, RN, CEN, email: kathleen.henkelman@alexian.net; Blake W. Stahl, MBA, PTen_GB
dc.identifier.urihttp://hdl.handle.net/10755/324157-
dc.description.abstractEvidence-based Practice Abstract Purpose: The emergency department (ED) and physical therapy (PT) have partnered together to provide a PT evaluation prior to patients being discharged from the ED. The goals of this new service are multi-fold: increase patient safety and satisfaction; decrease unwarranted admissions and unscheduled ED returns; differentiate ED service offerings from area hospitals. Design: This is a process and quality improvement project with potential cost reduction and increased revenue implications. Setting: Community hospital: Level II Trauma; Comprehensive Stroke Center. Participants/Subjects: ED patients with: spine pain; bone fractures; joint sprains; dizziness; vertigo; lightheadedness; fallers; and chronic fallers, are all potential referral candidates for a PT evaluation prior to determining final disposition and/or discharge from the ED. Methods: In order to improve the quality of care for ED patients, the PT department staffs the ED with a therapist Monday through Friday from 1100-1930 to receive patients referred by the ED physician/provider for evaluation. The 30-45 minute evaluation can be achieved concurrently with the patient’s ED visit in order to determine if the patient can be safely discharged or if an admission is truly warranted. The therapist can also see the patient post-discharge if it is clear that going home is the plan of care. If the initial evaluation indicates the need for outpatient therapy, the patient is scheduled at that time. This decreases the need for the patient to make an additional phone call and increases the likelihood that the patient will receive the follow-up care he/she needs. Providing the initial evaluation on-site also improves the probability that the patient will utilize the hospital system’s therapy services versus an outside vendor, thus increasing brand loyalty and capturing volume. During off hours the ED is providing PT with the patient’s information so they can call to schedule an outpatient evaluation. Education for the ED physicians, providers, and nurses has included identifying the appropriate patient types eligible for referral. Increasing the knowledge base in regard to physical rehabilitation services, from the typical orthopedic populations, to include the balance and vestibular issues remains an ongoing learning curve. Results/Outcomes: At the 60 day mark from the start of this initiative, our volumes indicate that further encouragement of providers to refer is necessary. The therapists are also maintaining a proactive stance by rounding on the physicians and providers to remind them of the service. All referrals have been appropriate and patient feedback has been extremely positive about having both services in one place at the same time. Implications: The safety and satisfaction of the patient is of utmost concern in the ED and this initiative can definitely help with the improvement of both. Many ED nurses have discharged a patient while crossing his/her fingers hoping the patient wouldn’t end up right back in the department in a matter of hours. Physical therapists working alongside the ED staff definitely fill a gap, providing a safer transition to home, thus decreasing the potential for the patient to “bounce back."en_GB
dc.subjectED Partners with Physical Therapyen_GB
dc.date.available2014-08-04T13:28:32Z-
dc.date.issued2014-08-04-
dc.date.accessioned2014-08-04T13:28:32Z-
dc.conference.date2014en_GB
dc.conference.name2014 ENA Leadership Conferenceen_GB
dc.conference.hostEmergency Nurses Associationen_GB
dc.conference.locationPhoenix, Arizona USAen_GB
dc.description2014 ENA Leadership Conference Theme: Safe Practice, Safe Care. Held at the Phoenix 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. 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.en_GB
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