Stocking of a Busy Emergency Department
Stocking of essential supplies in an emergency department (ED) is crucial in order to efficiently and effectively take care of patients. When equipment and supplies are not available to patient care providers, an imbalance in the delivery of care is created. The amount of time nurses spend away from the bedside obtaining supplies has only been superficially studied; however, one study proposed that the majority of nurses spend 5 to 20 percent or more of their time during a shift. This results in 30 minutes to two-and-a-half hours of a twelve hour shift being lost to retrieving supplies that are not available.
Cabinets and drawers have recently been eliminated in the rooms and stock is kept in "supply towers" that contain all the necessary supplies to adequately take care of patients with the exception of medications, or stationary supplies. Towers are restocked every morning by a stocking technician by taking the towers to the stock room, resupplying them based on previously established PAR levels, and utilizing a standard chart that describes exactly what supply, and how many to stock within a specified area of the cart.
During their shift, the stocking technician must also respond to pages concerning low stock levels.
Hypothesis:
Nurses spend a significant amount of time away from the patient bedside during their shift looking for supplies.
調査の概要
状態
条件
詳細な説明
Objectives:
- Determine the amount of time nurses spend outside of a patient room obtaining supplies to care for the patient.
- Determine what supplies are obtained when the room is left.
- Determine how many times per shift the nurse leaves to obtain the same item.
- Determine if utilizing a "supply tower" located in patient rooms decreases the amount of time nurses spend obtaining supplies outside of a patient room to care for patients.
- Determine if implementation of a full time stocking technician decreases the amount of time that nurses spend outside a patient's room obtaining stock.
- Conduct spot checks on carts to determine if PAR levels are over, under, or exactly as established.
研究の種類
入学 (実際)
連絡先と場所
研究場所
-
-
Pennsylvania
-
Allentown、Pennsylvania、アメリカ、18103
- Lehigh Valley Health Network
-
-
参加基準
適格基準
就学可能な年齢
- 子
- 大人
- 高齢者
健康ボランティアの受け入れ
受講資格のある性別
サンプリング方法
調査対象母集団
説明
Inclusion Criteria:
- Nurse is an employee of LVHHN, and is working at the CC site.
- Nurse is working a full shift (7a-7p, 7p-7a, 7a-3p, 3p-11p, 11p-7a).
- The nurse being observed is working in Pod 1, Pod 2, Pod 3, or Pod 4 at the CC site.
- The supply needed is related to a procedural task for patient care.
Exclusion Criteria:
- The nurse is working at LVH-M or LVH-17.
- The nurse being observed is working in the express care area or trauma bay.
- The supply being obtained is a supply that is not maintained in the cart (Appendix 2).
- The nurse is scheduled for a shift less than 8 hours.
研究計画
研究はどのように設計されていますか？
デザインの詳細
コホートと介入
グループ/コホート |
|---|
|
ED Nurses
Nurses in the emergency department (ED) providing patient care using supplies found in the "stocking towers"
|
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
time nurses spend away from patients bedside
時間枠：Outcome will be assessed for one year as the average time nurses spend away from the bedside searching for supplies for patient care during an ED stay (an expected average of 2.5 hours)
|
The average time nurses spend away from the bedside searching for supplies for patient care during an ED stay (an expected average of 2.5 hours)
|
Outcome will be assessed for one year as the average time nurses spend away from the bedside searching for supplies for patient care during an ED stay (an expected average of 2.5 hours)
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Supplies searched for
時間枠：Outcome will be assessed for one year as the type of supply that the nurses are searching for that was not available at the bedside searching for supplies for patient care during an ED stay (an expected average of 2.5 hours)
|
This is the type of supply that the nurse was searching for that was not available at the bedside.
|
Outcome will be assessed for one year as the type of supply that the nurses are searching for that was not available at the bedside searching for supplies for patient care during an ED stay (an expected average of 2.5 hours)
|
協力者と研究者
スポンサー
捜査官
- 主任研究者：David Richardson, MD、Lehigh Valley Health Network
研究記録日
主要日程の研究
研究開始
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (見積もり)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
- 2-20080104
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
IPD プランの説明
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。