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Aged care liaison role in ED—Improving care for nursing home patients
3rd National Conference for Emergency Nurses how introducing DIV 2’s affects others in the ED and what needs to be done for them. Further, specific examples will be discussed in detail (i.e. introduction of DIV 2’s into the Alfred ED) and from this a list of recommendations will be outlined that aim to facilitate the smooth introduction of DIV 2’s into an ED. doi:10.1016/j.aenj.2008.09.029 Aged care liaison role in ED—–Improving care for nursing home patients Lorraine Xavier-Ambrosius, Jenny Orr ∗ Western Health, C/O Access & Emergency, St Albans, VIC, Australia It is a widely known fact that the Australian population is ageing and associated need for health care for these older person will rise. The Aged Care Liaison Role (ACLR) was developed in response to providing better care for Nursing Home (NH) patients in the western region of Melbourne. As indicated in various studies, older persons hospitalisations can result in functional decline despite cure of the condition for which they were admitted. It was recognised that the ED had opportunities for improvement in terms of better communication, development of protocols to manage non acute pts from Nursing Home, enhanced coordination of services, access to education opportunities for Nursing Homes and vice versa. The ACLR is a role that combines an outreach service to Nursing Homes and a fast track model for these patients who do present into ED. Objectives: • Strengthen and enhance relationships by developing partnerships with NHs & GPs. • Provide a flexible serve to meet the needs of the NH residents. • Decrease unnecessary ED presentations. • Reduce access blocks in ED. • To improve continuity of care though care coordination and discharge planning for NH patients. Program initiatives: • Providing NH with a single point of contact through telephone triage service. • Outreach service (redirection strategy). • Education. • Fast tracking of NH pts who present to ED to reduce LOS of pts. A vignette will be used to demonstrate a patient’s journey and a cost benefit analysis will also be discussed. doi:10.1016/j.aenj.2008.09.030
205 Ten years on: An overview of the nurse practitioner in Victoria. Role progression and sustainability Simon Keating, John Thompson ∗ The Alfred Hospital, Prahran, VIC, Australia It has been 10 years since the inception of the nurse practitioner (NP) model into the Victorian Health System by the Department of Human Services (DHS). A taskforce was set up with the aim of establishing a framework and process for the implementation of the NP role in Victoria. In 1998, nine phase 1 projects were funded in several specialties including emergency nursing in order to explore the potential for NP implementation. A further 17 projects in Emergency; Rural; and Remote disciplines were funded. While there has been much research evaluating the effectiveness of the role and the benefits to organisations and patients, an overview of role sustainability and role progression has not been conducted. The aim of this paper is to examine the role progression and sustainability in those funded organisations (specifically in the areas of Emergency, Rural, and Remote nursing). A literature review relating to sustainability and role progression will be performed and presented. A survey of Emergency, Rural, and Remote Nurse Practitioners (Endorsed and Candidates) who have been employed from 1998 to 2008 will be carried out. The survey will also be sent to the relevant Nurse Unit Managers, and/or project managers who were involved with the inception of Nurse Practitioners. The results of the surveys will be presented. doi:10.1016/j.aenj.2008.09.031 NETWORKING Friday 29 August—–Concurrent Session 3 The impact of nurse researcher positions on patient care in the Emergency Department Kerri Holzhauser 1,2,∗ , Julia Crilly 2,3 1
Emergency Department, Princess Alexandra Hospital, Woolloongabba, QLD, Australia 2 Southern Area Health Service Emergency Department Clinical Network, QLD, Australia 3 Emergency Department, Gold Coast Hospital, Southport, QLD, Australia The Southern Area Health Service (SAHS) Emergency Department (ED) Clinical Network recognises the need to increase quality research being undertaken to improve patient care in the Emergency Department. As a result, the ED Clinical Network developed two Nurse Researcher positions with the aim to: • Increase the amount of high quality research undertaken within the Southern Area Health Service ED Clinical Network.
205 Ten years on: An overview of the nurse practitioner in Victoria. Role progression and sustainability Simon Keating, John Thompson ∗ The Alfred Hospital, Prahran, VIC, Australia It has been 10 years since the inception of the nurse practitioner (NP) model into the Victorian Health System by the Department of Human Services (DHS). A taskforce was set up with the aim of establishing a framework and process for the implementation of the NP role in Victoria. In 1998, nine phase 1 projects were funded in several specialties including emergency nursing in order to explore the potential for NP implementation. A further 17 projects in Emergency; Rural; and Remote disciplines were funded. While there has been much research evaluating the effectiveness of the role and the benefits to organisations and patients, an overview of role sustainability and role progression has not been conducted. The aim of this paper is to examine the role progression and sustainability in those funded organisations (specifically in the areas of Emergency, Rural, and Remote nursing). A literature review relating to sustainability and role progression will be performed and presented. A survey of Emergency, Rural, and Remote Nurse Practitioners (Endorsed and Candidates) who have been employed from 1998 to 2008 will be carried out. The survey will also be sent to the relevant Nurse Unit Managers, and/or project managers who were involved with the inception of Nurse Practitioners. The results of the surveys will be presented. doi:10.1016/j.aenj.2008.09.031 NETWORKING Friday 29 August—–Concurrent Session 3 The impact of nurse researcher positions on patient care in the Emergency Department Kerri Holzhauser 1,2,∗ , Julia Crilly 2,3 1
Emergency Department, Princess Alexandra Hospital, Woolloongabba, QLD, Australia 2 Southern Area Health Service Emergency Department Clinical Network, QLD, Australia 3 Emergency Department, Gold Coast Hospital, Southport, QLD, Australia The Southern Area Health Service (SAHS) Emergency Department (ED) Clinical Network recognises the need to increase quality research being undertaken to improve patient care in the Emergency Department. As a result, the ED Clinical Network developed two Nurse Researcher positions with the aim to: • Increase the amount of high quality research undertaken within the Southern Area Health Service ED Clinical Network.