Other Titles

Bridging the practice/research chasm [Symposium]

Abstract

Session presented on Sunday, November 8, 2015:

Efficiency of spaces are linked to less interruption to nurses work flow, shorter travel time and distance resulting in the staff being able to accomplish assigned tasks and increased face time with patients. A growing body of research focusing on spatial flow of clinical units suggests that equipment organization and location are key factors in achieving clinical efficiency. Objective: The projects objective was to demonstrate how a proper sized sling placed in a patient's room could benefit patient's safety, decrease nurse's time spent looking for proper equipment and increase nurse's productivity. Methods: The initial stage of the project was to study the medical unit layout and identify the areas for sling rack placements. Slings were conventionally located on the top of linen carts in the clean utility rooms. Sling racks were moved to the hallway and placed in close proximity to bariatric rooms. The criteria for sling placement in the patient's rooms was established based on the assessment of patient population. Factors guiding the assessment included level of assistance required, patient's functional status, safety and comfort. Four main guidelines were used to determine sling placement: 1) score of mobility test and/or Hendrich scale, 2) neurovascular/musculoskeletal status, 3) bariatric patients, 4) total care patients. Results: Safe Patient Handling team's internal monthly audits revealed the increase in compliance of proper sling placement and usage. Four month audit data was used in the study. Easy access to equipment was directly correlated with frequency of its usage. Conclusion: The benefits of easy access to slings include: 1) saved time for locating the necessary equipment, 2) increased nurse/patient face time 3) increased utilization of proper equipment 4) reduced number of patient fall, injuries incidents. The project revealed the need to eliminate unnecessary complexity in equipment organization and location. It proved that functional efficiency is closely linked to economic efficiency.

References: Zadeh, R et al. Rethinking efficiency in acute care nursing units: analyzing nursing unit layoutsfor improved spatial flow, Health Environments Research & Design Journal 2012; 6 (1): 39-64

Description

43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.

Author Details

Ausrine Buzick, RN; Stephanie Lanes, RN; Estella Contreras

Sigma Membership

Non-member

Type

Presentation

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

N/A

Keywords:

Quality Improvement, Work Flow, Clinical

Conference Name

43rd Biennial Convention

Conference Host

Sigma Theta Tau International

Conference Location

Las Vegas, Nevada, USA

Conference Year

2015

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Acquisition

Proxy-submission

Share

COinS
 

Effective nursing work flow: Making a difference

Las Vegas, Nevada, USA

Session presented on Sunday, November 8, 2015:

Efficiency of spaces are linked to less interruption to nurses work flow, shorter travel time and distance resulting in the staff being able to accomplish assigned tasks and increased face time with patients. A growing body of research focusing on spatial flow of clinical units suggests that equipment organization and location are key factors in achieving clinical efficiency. Objective: The projects objective was to demonstrate how a proper sized sling placed in a patient's room could benefit patient's safety, decrease nurse's time spent looking for proper equipment and increase nurse's productivity. Methods: The initial stage of the project was to study the medical unit layout and identify the areas for sling rack placements. Slings were conventionally located on the top of linen carts in the clean utility rooms. Sling racks were moved to the hallway and placed in close proximity to bariatric rooms. The criteria for sling placement in the patient's rooms was established based on the assessment of patient population. Factors guiding the assessment included level of assistance required, patient's functional status, safety and comfort. Four main guidelines were used to determine sling placement: 1) score of mobility test and/or Hendrich scale, 2) neurovascular/musculoskeletal status, 3) bariatric patients, 4) total care patients. Results: Safe Patient Handling team's internal monthly audits revealed the increase in compliance of proper sling placement and usage. Four month audit data was used in the study. Easy access to equipment was directly correlated with frequency of its usage. Conclusion: The benefits of easy access to slings include: 1) saved time for locating the necessary equipment, 2) increased nurse/patient face time 3) increased utilization of proper equipment 4) reduced number of patient fall, injuries incidents. The project revealed the need to eliminate unnecessary complexity in equipment organization and location. It proved that functional efficiency is closely linked to economic efficiency.

References: Zadeh, R et al. Rethinking efficiency in acute care nursing units: analyzing nursing unit layoutsfor improved spatial flow, Health Environments Research & Design Journal 2012; 6 (1): 39-64