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A puff of smoke
Managing risks to improve patient outcomes ETP (Emergency Treatment Performance) targets Emergency re-presentations to Emergency Departments within 48 hours TOC (Transfer of Care) targets Method: Nurse Practitioner to drive improvement in leadership and accountabilities within the inter-disciplinary team Escalation Plan based on triggers and focus with delegation of who is responsible Daily Emergency Report Engagement of Medical Officers and Deputy Director of Nursing / After Hours Managers Results:
There were also documented minimal complaints with significant rise in positive feedback from patients and their families with follow up phone calls near to the set target of %10 Patients who ‘Did not wait in ED’ had been reduced by 0.7% which remains 0.7% above the district target. NO falls, SAC 1, SAC2 or London Protocols reducing costs by prevention of incidents leading to a better patient care outcomes, reduction of length of stay and costs of investigation Improved TOC time decreasing time for ambulance officers remaining in ED to ‘off load’ patient to bed Conclusion: Nurse Practitioner leadership can influence both medical and nursing relationships promoting better outcomes for patients. http://dx.doi.org/10.1016/j.nurpra.2017.05.030 A puff of smoke Mr Jason Moloney1 1 Gympie Hospital
Transfer of Care reflecting ambulance off load had improved from 95% to 98%
Representation to same ED within 48hours although has increased from 2.77 to 3.96 but below the set target of 5.2%
Abstract: Case studies: 12 F Identical Twin Minor head injury presentation Neurological decline Subarachnoid haemorrhage and occipital skull fracture seen on CT with evidence of previous infarcts Possible evidence of non-accidental injury Not consistent with presentation CT Angio e Moyamoya syndrome secondary to grossly abnormal intracerebral vascular pattern Case discussion will explore the importance of head injury observation in paediatric cases Application of CT rules such as PECARN Paediatric Head Injury/Trauma Algorithm Communication and collaboration dynamics between nurse practitioners and senior medical officers http://dx.doi.org/10.1016/j.nurpra.2017.05.031 The positive impact of a trauma whiteboard on team performance in a small rural hospital and multiple purpose health service emergency department Ms Kylie Ludwick1 1 Queensland Health
All Triage categories treated remain within the district target www.npjournal.org
Abstract: Problem: Lack of team confidence and function in a small rural facility emergency department in response to The Journal for Nurse Practitioners - JNP
e329
There were also documented minimal complaints with significant rise in positive feedback from patients and their families with follow up phone calls near to the set target of %10 Patients who ‘Did not wait in ED’ had been reduced by 0.7% which remains 0.7% above the district target. NO falls, SAC 1, SAC2 or London Protocols reducing costs by prevention of incidents leading to a better patient care outcomes, reduction of length of stay and costs of investigation Improved TOC time decreasing time for ambulance officers remaining in ED to ‘off load’ patient to bed Conclusion: Nurse Practitioner leadership can influence both medical and nursing relationships promoting better outcomes for patients. http://dx.doi.org/10.1016/j.nurpra.2017.05.030 A puff of smoke Mr Jason Moloney1 1 Gympie Hospital
Transfer of Care reflecting ambulance off load had improved from 95% to 98%
Representation to same ED within 48hours although has increased from 2.77 to 3.96 but below the set target of 5.2%
Abstract: Case studies: 12 F Identical Twin Minor head injury presentation Neurological decline Subarachnoid haemorrhage and occipital skull fracture seen on CT with evidence of previous infarcts Possible evidence of non-accidental injury Not consistent with presentation CT Angio e Moyamoya syndrome secondary to grossly abnormal intracerebral vascular pattern Case discussion will explore the importance of head injury observation in paediatric cases Application of CT rules such as PECARN Paediatric Head Injury/Trauma Algorithm Communication and collaboration dynamics between nurse practitioners and senior medical officers http://dx.doi.org/10.1016/j.nurpra.2017.05.031 The positive impact of a trauma whiteboard on team performance in a small rural hospital and multiple purpose health service emergency department Ms Kylie Ludwick1 1 Queensland Health
All Triage categories treated remain within the district target www.npjournal.org
Abstract: Problem: Lack of team confidence and function in a small rural facility emergency department in response to The Journal for Nurse Practitioners - JNP
e329