Emergency Department Essay - 1828 Words

Aiding Throughput by Adding Advanced Practice Providers to Saint Joseph’s Emergency Department Cavan Quam California State University, Stanislaus Introduction Emergency departments (EDs) across the country are inundated with too many patients based upon staffing and resources (Sun et al., 2013). This is a problem, as overcrowding in the ED has been shown to increase the likelihood of multiple negative outcomes. Patients who go to overcrowded EDs experience a higher likelihood of mortality, have a longer length of stay in the hospital, and incur higher costs (Sun et al., 2013). While the problem of overcrowding is a multifaceted one, one contributing factor is that low acuity patients go to EDs because they lack access to primary†¦show more content†¦Approach - Urgent Care in ED Model Since overcrowded EDs must provide care to patients across the acuity spectrum, it is imperative that the appropriate level of care is delivered as often as possible. In other words, a physician does not need to perform assessments on a patient who can be managed by a nurse practitioner (NP) or a physician assistant (PA). Similarly, a high acuity pat ient should not be relegated to a longer time to assessment because the ED physicians are assigned to too many patients already. In order to appropriately match patients with the level of care required, EDs must increase NP and PA staffing to treat those who seek primary care and urgent care treatment at the ED. Urgent care models utilize multiple NPs and PAs. The reason being is these providers can deliver the care at the level the patient requires. It has been shown that utilizing NPs in the ED can result is lower acuity patients being seen and discharged faster, as well as helping overcrowding in the ED overall (Burlingame Simpson, 2009). In concert with an effective front-end and ambulance triage model, NPs and other advanced practice providers can lessen the burden on ED physicians. Importantly, nurse practitioners and other advanced providers contribute to throughput in the ED even if they are not the final provider signing off on the patient’s discharge. Rapid access to NPs and PAsShow MoreRelatedEmergency Department Bottleneck Proposal Essay example1844 Words   |  8 PagesEmergency Department Bottleneck Proposal Middletown Hospital is a 200-bed, not-for-profit-general hospital that has an emergency department with 20 emergency beds. The emergency department handles on an average 100 patients per day. The hospital’s CEO has authorized the Six Sigma Team (SST) to address complaints received from patients seeking treatment between 6:00 p.m. and 10:00 p.m. The complaints are centered on waiting times and poor service. During this time the data indicates that approximatelyRead MoreEssay on truama c-spine1431 Words   |  6 Pages Trauma C-Spine nbsp;nbsp;nbsp;nbsp;nbsp;This essay is not intended to criticize any emergency medical or hospital staff. 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Read MoreEssay about emergency disaster1691 Words   |  7 Pagesï » ¿Write a clear and well thought out essay on the following problem: â€Å"Your County Manager has just gone to a federally sponsored program on getting volunteers to support the management and administrative side of disaster and recovery portions of emergency management. The Manager attended a seminar on a program called ‘Professional Volunteer Disaster Survey Team (PRO-V-DST)’ which had been developed in Texas in the mid-1990’s. She was quite enthusiastic about the program as it provides: