Stocking of a Busy Emergency Department

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Marna Rayl Greenberg, Lehigh Valley Hospital
ClinicalTrials.gov Identifier:
NCT01586832
First received: July 19, 2011
Last updated: June 14, 2014
Last verified: June 2014
  Purpose

Stocking of essential supplies in an emergency department (ED) is crucial in order to efficiently and effectively take care of patients. When equipment and supplies are not available to patient care providers, an imbalance in the delivery of care is created. The amount of time nurses spend away from the bedside obtaining supplies has only been superficially studied; however, one study proposed that the majority of nurses spend 5 to 20 percent or more of their time during a shift. This results in 30 minutes to two-and-a-half hours of a twelve hour shift being lost to retrieving supplies that are not available.

Cabinets and drawers have recently been eliminated in the rooms and stock is kept in "supply towers" that contain all the necessary supplies to adequately take care of patients with the exception of medications, or stationary supplies. Towers are restocked every morning by a stocking technician by taking the towers to the stock room, resupplying them based on previously established PAR levels, and utilizing a standard chart that describes exactly what supply, and how many to stock within a specified area of the cart.

During their shift, the stocking technician must also respond to pages concerning low stock levels.

Hypothesis:

Nurses spend a significant amount of time away from the patient bedside during their shift looking for supplies.


Condition
Emergencies

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Prospective
Official Title: Stocking of a Busy Emergency Department

Further study details as provided by Lehigh Valley Hospital:

Primary Outcome Measures:
  • time nurses spend away from patients bedside [ Time Frame: Outcome will be assessed for one year as the average time nurses spend away from the bedside searching for supplies for patient care during an ED stay (an expected average of 2.5 hours) ] [ Designated as safety issue: No ]
    The average time nurses spend away from the bedside searching for supplies for patient care during an ED stay (an expected average of 2.5 hours)


Secondary Outcome Measures:
  • Supplies searched for [ Time Frame: Outcome will be assessed for one year as the type of supply that the nurses are searching for that was not available at the bedside searching for supplies for patient care during an ED stay (an expected average of 2.5 hours) ] [ Designated as safety issue: No ]
    This is the type of supply that the nurse was searching for that was not available at the bedside.


Enrollment: 565
Study Start Date: January 2008
Study Completion Date: December 2013
Primary Completion Date: December 2013 (Final data collection date for primary outcome measure)
Groups/Cohorts
ED Nurses
Nurses in the emergency department (ED) providing patient care using supplies found in the "stocking towers"

Detailed Description:

Objectives:

  • Determine the amount of time nurses spend outside of a patient room obtaining supplies to care for the patient.
  • Determine what supplies are obtained when the room is left.
  • Determine how many times per shift the nurse leaves to obtain the same item.
  • Determine if utilizing a "supply tower" located in patient rooms decreases the amount of time nurses spend obtaining supplies outside of a patient room to care for patients.
  • Determine if implementation of a full time stocking technician decreases the amount of time that nurses spend outside a patient's room obtaining stock.
  • Conduct spot checks on carts to determine if PAR levels are over, under, or exactly as established.
  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population

Participants will include the nurses in the emergency department who will be observed during their shift.

Criteria

Inclusion Criteria:

  • Nurse is an employee of LVHHN, and is working at the CC site.
  • Nurse is working a full shift (7a-7p, 7p-7a, 7a-3p, 3p-11p, 11p-7a).
  • The nurse being observed is working in Pod 1, Pod 2, Pod 3, or Pod 4 at the CC site.
  • The supply needed is related to a procedural task for patient care.

Exclusion Criteria:

  • The nurse is working at LVH-M or LVH-17.
  • The nurse being observed is working in the express care area or trauma bay.
  • The supply being obtained is a supply that is not maintained in the cart (Appendix 2).
  • The nurse is scheduled for a shift less than 8 hours.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01586832

Locations
United States, Pennsylvania
Lehigh Valley Health Network
Allentown, Pennsylvania, United States, 18103
Sponsors and Collaborators
Lehigh Valley Hospital
Investigators
Principal Investigator: David Richardson, MD Lehigh Valley Health Network
  More Information

No publications provided

Responsible Party: Marna Rayl Greenberg, Director of Emergency Medicine Research, Lehigh Valley Hospital
ClinicalTrials.gov Identifier: NCT01586832     History of Changes
Other Study ID Numbers: 2-20080104
Study First Received: July 19, 2011
Last Updated: June 14, 2014
Health Authority: United States: Institutional Review Board

Keywords provided by Lehigh Valley Hospital:
Hospital Supplies
Stocking of Supplies

Additional relevant MeSH terms:
Emergencies
Disease Attributes
Pathologic Processes

ClinicalTrials.gov processed this record on September 22, 2014