Caring for Critical Care Boarders in the Emergency Department

Denno, Jennifer

doi:10.1016/j.jen.2012.04.015

Cited by 4 publications

(2 citation statements)

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“…The critically ill patient population is extremely vulnerable, and if boarded in the ED, requires specialized care. [2] Through evaluation of the ED to ICU admission process at this Midwestern suburban community hospital, it was determined that the ED to ICU nurse handoff process was inefficient and contributed to ED boarding of critically ill patients. An evidence-based solution was developed to improve efficiency of ED to ICU nurse handoff in an effort to improve admission efficiency and reduce ICU patient boarding in the ED.…”

Section: Discussionmentioning

confidence: 99%

“…It is recommended that emergency nurses caring for critically ill patients for extended periods of time receive additional specialized training in skills such as assessment, monitoring, and ventilator management. [2] ICU patients are labor, time, and resource intensive, and their boarding in the ED can result in suboptimal outcomes. [3][4][5] In order to provide the best care to this vulnerable population, reduction of ICU patient boarding, and improved admission efficiency must be prioritized.…”

Section: Introduction 11 Backgroundmentioning

confidence: 99%

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Improving handoff efficiency from emergency department to intensive care

Hart

Gormley²

2020

JNEP

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The emergency department to intensive care unit nurse handoff process was found to be inefficient in a Midwest community hospital, resulting in prolonged admission times. The purpose of this project was to determine if implementation of a standardized bedside nurse handoff process would affect admission efficiency. Efficiency of nurse handoff, efficiency of emergency department to intensive care unit admissions, and rates of intensive care unit patient boarding in the emergency department were examined. A task force composed of staff nurses developed a standardized bedside nurse handoff process following guidelines from the literature. This new handoff process incorporated the evidence-based concepts of bedside report, standardization, and electronic medical record. Stakeholder and staff buy-in were obtained, and the process was implemented. Outcomes were evaluated six months prior to- and one-year post-implementation of the standardized bedside handoff process. Analysis of one-year post-implementation data revealed an improvement in average handoff time by 15 minutes, an improvement in average admission time by 17 minutes, and a reduction in intensive care unit patient boarding by 19.5%. By improving efficiency of the nurse handoff process, and therefore the admission process, the findings of this project have the potential to reduce patient boarding and improve the quality of patient care. This quality improvement project also contributes to a gap in the current body of evidence pertaining to interdepartmental nurse handoffs.

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Section: Discussionmentioning

confidence: 99%