Stocking of a Busy Emergency Department
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.
Nurses spend a significant amount of time away from the patient bedside during their shift looking for supplies.
|Study Design:||Observational Model: Cohort
Time Perspective: Prospective
|Official Title:||Stocking of a Busy Emergency Department|
- 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)
- 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.
|Study Start Date:||January 2008|
|Study Completion Date:||December 2013|
|Primary Completion Date:||December 2013 (Final data collection date for primary outcome measure)|
Nurses in the emergency department (ED) providing patient care using supplies found in the "stocking towers"
- 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.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01586832
|United States, Pennsylvania|
|Lehigh Valley Health Network|
|Allentown, Pennsylvania, United States, 18103|
|Principal Investigator:||David Richardson, MD||Lehigh Valley Health Network|