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Show The Impact of a Standardized Education and Communication Process on Emergency Room Boarding Times BACKGROUND This project evaluates how standardized training for charge nurses will impact ER boarding times for critically ill patients. Nationwide overcrowding in emergency departments strains resources and compromises care 1. Training will focus on patient flow, communication, situational awareness, decisionmaking, and nurse-patient assignments, aiming to move critically ill patients out of the ER within six hours of admission 3. • • • • • ER boarding impacts outcomes 2 Training gap for charge nurses 2 Role of communication in patient flow 3 Significance of standardized processes 4 Empowering charge nurses Benefits of Standardized Communication Jillyn Graham, BSN, RN, MSN Student Tricia Gibbs, DNP, RN, CNE Mary Hellyar MSN CNS-BC, APRN INTERVENTIONS Structured breakdown of the project into actionable interventions: • Planning and Preparation (Weeks 1-8) • Step 1 Introductory Meeting; Step 2 Needs Assessment; Step 3 Develop Training Materials; Step 4 Communication and Promotion • Training Implementation (Weeks 9-16) • Step 1 Pilot Training; Step 2 Training Rollout; Step 3 Support System • Continuous Improvement and Monitoring (Weeks 17-24) • Step 1 Post Training Surveys; Step 2 Analysis and Communication; Step 3 Refresher Sessions IMPACTS Potential Impacts of the Project: Improved communication among charge nurses by decreasing boarding times in the ER and improving patient outcomes METHODS The framework used was the Sackett framework model for evidencebased practice 5. Steps for Implementation and Deliverables: • Step 1: PowerPoint training proposal to stakeholders (weeks 1-4) • Step 2: SBAR tool implementation and education with posters and training on SBAR • Step 3: Workshops and Webinars • Step 4: Pre-Post Surveys • Step 5: Statistical Analysis REFERENCES 1.Benjamin, E. (2024). Innovations in emergency nursing: Adapting patient flow, management to emergency department overcrowding. Journal of Emergency Nursing, (51)(2), 261268. http://doi.org/10.1016/j.jen.2024.10.002 2.Bennage, J., Ford, C., Ezemenaka, C. I., & Persing, T. (2024). Emergency department length of stay: A community hospital initiative. Advanced Emergency Nursing Journal, (46)(3), 263272. http://doi.org/10.1097/TME.000000000000525 3. Wolf, L., Delao, A., Simon, C., & Burchill, C. (2024). Ensuring throughput: Development and validation of charge nurse Competencies for United States Emergency Care Settings. Journal of Emergency Nursing (50)(4), 523–536. http://doi.org/10.1016/j.jen.2024.02.009 4. Muir, K. J., McHugh, M. D., Merchant, R. M., & Lasater, K. B. (2024). Left without being seen: Nurse work environment and timely outcomes in New York and Illinois emergency departments. Journal of Emergency Nursing, 50(5), 660–669. https://doi.org/10.1016/j.jen.2023.11.010 5. Dustin, J., Melanson, A., & Mische-Lawson, L. (2023). Evidence-Based practice models and frameworks in the healthcare setting: A scoping Review. BMJ Open, (13)(5), e071188. https://doi.org/10.1136/bmjopen-2022-071188 • • • • • Improved communication and coordination Streamlined workflows 2 Increased patient satisfaction 1 Enhanced staff morale 1 Reduced ER boarding time and complications 3. Long-Term Results and Future Prospects • Sustainability • Patient perspective data • Hospital-wide impact • Improved handoff processes • Dynamic feedback loops CONCLUSIONS Relevant picture, graph or data set goes here The project emphasizes implementing a standardized education and communication process for ER charge nurses to address hospital-wide challenges, including ED overcrowding and prolonged patient boarding. Charge nurses can facilitate more efficient patient flow and reduce boarding times by enhancing communication skills, clinical decision-making, and situational awareness through training programs. |
