Research based practice is an important element in nursing. Research supports our knowledge base and answers questions of clinical concern (Kearney-Nunnery p.88). Nurses need to ask questions of their environment and seek out knowledge on how to fix those problems. One way to encourage such practice amongst staff is to, hold monthly staff meetings and allow for open discussion about issues or concerns. Specifically in my department I would ask for volunteers for a committee to be made up of Emergency department staff and registration staff. Explain how the goal of establishing this committee will improve overall patient and job satisfaction. Also I would start a relationship with professional healthcare organizations that could help the committee
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This issue causes the hospital to lose profits and places a poor reputation on the hospital throughout the community. This problem can be identified by the direct number of persons that register to be seen in the Emergency Room versus the number that leaves before being transferred to a room in the department. Assessing these numbers helps in achieving a clear picture on what causes the LWBS. Many factors can be looked at when assessing the problem such as, what time of day these persons are leaving most, staffing numbers at those times and which physician is on for that shift. LWBS in Emergency Rooms has been much researched and we will easily be able to access how other facilities handled the same issues. The most significant factor in our department that contributes to LWBS seems to be staffing numbers. A meeting including ER staff, Registration staff and Administration should be held to discuss potential solutions to the problem. During this meeting a policy needs to be created which addresses standards; 1) the time that is acceptable an individual waits in the waiting room before being seen by a nurse 2) at what point the triage room should be opened 3) what is the acceptable percentage of LWBS when compared to the national average (2.6% a year). The standards should be as follows 1) A person should wait no more than 5 minutes to be seen by a nurse, unless …show more content…
These members would use a couple different techniques to evaluate effectiveness. First, each day of the three month period would be evaluated assessing how often the triage nurse was utilized, which physician was on shift and the patient acuity levels during the time of any LWBS. Next, Follow up calls would also serve as a basis for evaluation. Follow up calls are to be performed the next day of services rendered on all patients. The follow up questions should be; are you feeling any better? How was the care you received? Were you seen in a timely manner? Would you recommend our emergency department to friends and family? By compiling this data it will establish whether or not the policies set forth are
This issue causes the hospital to lose profits and places a poor reputation on the hospital throughout the community. This problem can be identified by the direct number of persons that register to be seen in the Emergency Room versus the number that leaves before being transferred to a room in the department. Assessing these numbers helps in achieving a clear picture on what causes the LWBS. Many factors can be looked at when assessing the problem such as, what time of day these persons are leaving most, staffing numbers at those times and which physician is on for that shift. LWBS in Emergency Rooms has been much researched and we will easily be able to access how other facilities handled the same issues. The most significant factor in our department that contributes to LWBS seems to be staffing numbers. A meeting including ER staff, Registration staff and Administration should be held to discuss potential solutions to the problem. During this meeting a policy needs to be created which addresses standards; 1) the time that is acceptable an individual waits in the waiting room before being seen by a nurse 2) at what point the triage room should be opened 3) what is the acceptable percentage of LWBS when compared to the national average (2.6% a year). The standards should be as follows 1) A person should wait no more than 5 minutes to be seen by a nurse, unless …show more content…
These members would use a couple different techniques to evaluate effectiveness. First, each day of the three month period would be evaluated assessing how often the triage nurse was utilized, which physician was on shift and the patient acuity levels during the time of any LWBS. Next, Follow up calls would also serve as a basis for evaluation. Follow up calls are to be performed the next day of services rendered on all patients. The follow up questions should be; are you feeling any better? How was the care you received? Were you seen in a timely manner? Would you recommend our emergency department to friends and family? By compiling this data it will establish whether or not the policies set forth are