Pivot nursing: Improving emergency department input
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Jacquline Jansen, DNP, RN, FNP-C, CEN
- Sigma Affiliation
- Gamma Eta
- Contributor Affiliation(s)
- Samford University, Birmingham, Alabama, USA
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Abstract
Inefficient procedures in place at any point in the emergency department (ED) can create a bottleneck and result in significant adverse effects, particularly for patients with time-sensitive conditions such as acute myocardial infarction, sepsis, or acute stroke. This project explores improving the input phase to ensure that patients presenting to the ED are assessed without unnecessary delay. The current set-up has patients that arrive to the ED waiting area to check-in with a registration clerk who enters the patient’s name, date of birth and chief complaint into Medhost, the ED electronic health record (EHR) and then registers the patient in Meditech for billing and insurance. The patient’s name appearing in the EHR is what alerts the triage nurse that there is a patient to be seen; there is no clinically trained person who is stationed in or with an unobstructed view of the waiting room. The triage nurse pulls the patient directly to an exam room if available or to the triage room and completes a focused assessment and documents chief complaint, vital signs, allergies, medical history, home medication list, surgical history, travel screen, sepsis screen, suicide screen, pain, and assigns an acuity level. The current process has ample room for error and the potential for adverse events to occur.
Repository Posting Date
2020-07-17T21:12:36Z
Type Information
Type | Poster |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Category Information
Evidence Level | Quality Improvement |
Research Approach | Translational Research/Evidence-based Practice |
Keywords | Emergency Department (ED); Triage; Pivot Nurse |
Degree Information
Grantor | Samford University |
Advisor | Cunningham, Jill |
Level | DNP |
Year | 2020 |
Conference Information
Name | Ida Moffett School of Nursing DNP Poster Presentation |
Host | Samford University |
Location | Birmingham, Alabama, USA |
Date | 2020 |
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