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.
Visão geral do estudo
Status
Condições
Descrição detalhada
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.
Tipo de estudo
Inscrição (Real)
Contactos e Locais
Locais de estudo
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Pennsylvania
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Allentown, Pennsylvania, Estados Unidos, 18103
- Lehigh Valley Health Network
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-
Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
- Filho
- Adulto
- Adulto mais velho
Aceita Voluntários Saudáveis
Gêneros Elegíveis para o Estudo
Método de amostragem
População do estudo
Descrição
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.
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
Coortes e Intervenções
Grupo / Coorte |
|---|
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ED Nurses
Nurses in the emergency department (ED) providing patient care using supplies found in the "stocking towers"
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O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
time nurses spend away from patients bedside
Prazo: 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)
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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)
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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)
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Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
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Supplies searched for
Prazo: 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)
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This is the type of supply that the nurse was searching for that was not available at the bedside.
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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)
|
Colaboradores e Investigadores
Patrocinador
Investigadores
- Investigador principal: David Richardson, MD, Lehigh Valley Health Network
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo
Conclusão Primária (Real)
Conclusão do estudo (Real)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Estimativa)
Atualizações de registro de estudo
Última Atualização Postada (Estimativa)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Palavras-chave
Termos MeSH relevantes adicionais
Outros números de identificação do estudo
- 2-20080104
Plano para dados de participantes individuais (IPD)
Planeja compartilhar dados de participantes individuais (IPD)?
Descrição do plano IPD
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