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Implementing a Virtual Discharge Nurse Pilot: Utilizing the Pathway to Excellence® Framework
Jennifer Ransford1, Timothy Tidwell, Logan Johnson
1Author Affiliations: Vice President/Chief Nursing Officer (Ransford), West Region, Nurse Manager (Tidwell), Director of Patient Services (Johnson), Director of Nursing Informatics (Gitney), Director of eICU & Central Patient Placement (Morgan), and Advanced Professional Development Practitioner (Dr Hauch), BayCare Health System, Clearwater, Florida.
Objective:
The virtual nurse (VN) pilot was developed to assist bedside nurses in administrative tasks, including discharges and education, from a remote location.
Background:
Bedside nurse vacancies have increased, leading to a shortage of resources for the care team and less time for nurses to provide hands-on care to patients.
Methods:
A survey showed 77% of nurses spend more than 3 hours per shift on admissions, discharges, and patient education. A pilot was conducted on a 45-bed unit with the VN focusing on discharges and patient education.
Results:
During the pilot, the VN completed 1375 tasks, increasing patient and nurse satisfaction while reducing turnover and adverse events.
Conclusion:
With the program's early success, the VN role is expanding into additional units.
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