NR631 Nurse Executive Concluding Graduate Experience - I

Abstract summary of project topic Within the Chamberlain Hospital ER scenario, problems can be noted in many areas. Among the main problems is the high rate of Left Without Being Seen (LWBS). Currently, the rate of LWBS is at 4.6 % considering that the national benchmark is 2%. There is a lack of effective communication along the care delivery process starting from triage to discharge. Nurses give reports at the nursing station and do not round on patients. They are on their mobiles phones, texting most of the time and are reluctant to discharge patients to avoid admissions at end of shift. To address these problems, the current project focuses on the implementation of bedside reporting and purposeful rounding among patients presenting to the ED as key strategies to reduce the rate of LWBS. The information collected from a review of the literatures clearly demonstrates the effectiveness of the proposed intervention in addressing the problems that Chamberlain Hospital is facing. For example, Sayah et a (2014) conducted a study to evaluate the effectiveness of process improvement/bedside reporting in reducing the Left Without Being Seen (LWBS) rate. Study findings showed that bedside reporting helped to reduce the mean rate of patients in the ED who left without being seen.