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.
研究概览
地位
条件
详细说明
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.
研究类型
注册 (实际的)
联系人和位置
学习地点
-
-
Pennsylvania
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Allentown、Pennsylvania、美国、18103
- Lehigh Valley Health Network
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-
参与标准
资格标准
适合学习的年龄
- 孩子
- 成人
- 年长者
接受健康志愿者
有资格学习的性别
取样方法
研究人群
描述
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.
学习计划
研究是如何设计的？
设计细节
队列和干预
团体/队列 |
|---|
|
ED Nurses
Nurses in the emergency department (ED) providing patient care using supplies found in the "stocking towers"
|
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
time nurses spend away from patients bedside
大体时间：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)
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Supplies searched for
大体时间：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)
|
合作者和调查者
调查人员
- 首席研究员：David Richardson, MD、Lehigh Valley Health Network
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
计划个人参与者数据 (IPD)
计划共享个人参与者数据 (IPD)？
IPD 计划说明
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