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Related Concept Videos

Flow Sheet01:17

Flow Sheet

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Flowsheets are valuable tools in nursing documentation. They enable healthcare professionals to efficiently record and monitor various patient assessments and measurements in a consolidated format.
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
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Urodynamic Studies: Uroflowmetry01:19

Urodynamic Studies: Uroflowmetry

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Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...
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Planning Nursing Care I01:21

Planning Nursing Care I

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The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
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Flow Cytometry01:23

Flow Cytometry

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The development of flow cytometry techniques began in 1934 with initial attempts by Andrew Moldavan, a bacteriologist who counted the cells in a flowing capillary system. Moldavan pumped cells through a capillary tube focused under a microscope for visualization. The invention of photometry allowed the measurement of differentially-stained cells, and Louis Kamentsky developed the first multiparameter flow cytometer in 1965 to identify and count the cancer cells in cervical tissue specimens.
In...
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Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
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Discharge Summary Forms01:31

Discharge Summary Forms

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The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

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Does an ED flow coordinator improve patient throughput?

Seamus O Murphy1, Bradley E Barth1, Elizabeth F Carlton1

  • 1Kansas City, KS.

Journal of Emergency Nursing
|June 30, 2014
PubMed
Summary
This summary is machine-generated.

Implementing an emergency department (ED) flow coordinator significantly reduced patient length of stay and hospital diversion. This role improved patient flow and generated substantial financial returns for the medical center.

Keywords:
DiversionFlow coordinatorLWBSLength of stayThroughput

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Area of Science:

  • Healthcare Management
  • Emergency Medicine
  • Quality Improvement

Background:

  • Urban academic medical centers face challenges with emergency department (ED) overcrowding.
  • Previous strategies included "fast track" areas, increased ED size, hallway beds, and ambulance diversion.
  • A new initiative focused on a balanced admission process, utilizing a BSN-educated emergency nurse as a flow coordinator.

Purpose of the Study:

  • To evaluate the impact of an ED flow coordinator on patient throughput and hospital operations.
  • To assess the quality improvement outcomes associated with the implementation of this role.

Main Methods:

  • Retrospective analysis of all ED patient encounters one year before and one year after implementing the ED flow coordinator position.
  • Quality improvement determination obtained from the local institutional review board.
  • No patient encounters were excluded from the analysis.

Main Results:

  • The flow coordinator program reduced ED length of stay by 87.6 minutes (P=.001).
  • The rate of patients leaving without being seen (LWBS) decreased by 1.5% (P=.002).
  • Monthly hospital diversion hours decreased significantly from 93 to 43.3 hours (P=.008).

Conclusions:

  • Investing in an ED flow coordinator program improves patient flow and operational efficiency.
  • The program demonstrated significant financial returns, with potential annual savings of nearly $20 million from reduced diversion and over $5 million from decreased LWBS rates.
  • An ED flow coordinator, with leadership support, yields significant results and a strong return on investment in large academic medical centers.