Implementing an Ambulatory Care Unit on a Inpatient Department

Friday, April 12, 2013

Tanya P. Filtz, BSN, RN
Medical Unit, Ogden Regional Medical Center, Ogden, UT

Learning Objective 1: To learn what data is necessary to present to a facilities administration to change staffing ratio's.

Learning Objective 2: To see the process involved to change safe staffing guidelines.

A medium sized urban hospital Medical Unit has a unique staffing situation, in which they care for inpatient and outpatients, while they are only staffed for the inpatient population.  The outpatient consists of cath lab, interventional radiology and patients receiving blood.   Typically these types of patients are taken care of in a same day surgery type environment, but the facility does not have enough room for this patient population in the same day area.  As a result of having the outpatients on the medical unit, productivity on this inpatient medical unit has been in the negative related to increasing outpatient procedures that are assigned on the medical unit. Data from the medical unit was collected, and benchmarking of other facilities nationally were evaluated and recorded.  As a result of reviewing all the data, it appears that there is no comparable unit to gauge from.  There is not a process available to guide and show how to propose a change to implement. Therefore this poster will show how to make a proposal to change a staffing matrix to support the nurses on the unit and provide safe care.