For a bedside nurse, admissions and discharges take a great deal of time to complete. When nurses become overwhelmed with multiple admissions and discharges, quality care can become more difficult to achieve. As nurses struggle to manage their time to care for all patients, resources must be provided to help ensure high quality care. According to Kelly, Runge, and Spencer (2015), high nursing workload contributes to nurses’ dissatisfaction leading to staff turnover. Nursing satisfaction could be increased while situational workload is decreased resulting in safe, high quality outcomes through the implementation of an admission/discharge/transfer (ADT) team.
Many organizations are faced with the difficulty of adding additional staff due to budget constraints. With this in mind, a 402 bed acute care hospital in West Texas initiated a “Team Assist” program. Clinical educators and directors would serve as ADT team members in an effort to use current staffing resources. Using Lewin’s Change Model, the team was initiated in September 2014. A combination of three educators and directors signed up each day to serve on the ADT team, with a requirement of once weekly participation to ensure adequate assistance was available. When the team was needed, the charge nurse would notify the operator and house supervisor who would then alert the team. The program has been in place for two years and continues to serve as a much needed resource.
This session will provide a dialogue concerning the challenges and opportunities encountered within the initiation and management of the "Team Assist" program. A discussion of the resources and evidence required for reaching the desired outcome will be presented so that participants can build on the experiences encountered.
See more of: Oral Paper & Poster: Evidence-Based Practice Sessions