Magnet Recognition Program® Request for Additional Documentation
Homestead Hospital
Homestead, FL
MGN20140102
TL2 Nurse leaders and clinical nurses advocate for resources to support nursing unit and organizational goals.
TL2a Provide one example, with supporting evidence, of a nurse leader’s advocacy that resulted in the allocation of resources to support an organizational goal.
Provide supporting evidence to demonstrate the ED Director’s (nurse leader) advocacy that resulted in the allocation of resources (Pediatric FTEs) to support an organizational goal.
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The requested evidence is provided below.
NAME OF INITIATIVE
Pediatric Emergency Department (ED) Rapid Care Model
Organizational Goal
With increasing ED volumes and the requirement to meet national benchmarks for ED throughput, one of Homestead Hospital’s strategic goals for fiscal year (FY) 2013 was to explore means to decompress the ED. ED Director Sherine Craig, RN (nurse leader) and ED Patient Care Manager Netonua Reyes, RN reviewed pediatric ED metrics and identified opportunities for improvement in left without being seen (LWBS) and door-to-provider times. The implementation of a new flow pattern called the “rapid care” process helped in improving the aforementioned metrics. However, the need for additional staff to continuously expedite flow in a safe manner was a recurrent theme in all subsequent staff meetings by both nursing and medical staff. With this information and the support of Chief Nursing Officer and Vice President Gail Gordon, RN, Reyes scheduled a meeting with the senior executive team to discuss the need for an increase in nursing personnel in the pediatric ED.
Nurse Leader’s Advocacy
On February 7th, 2013, a meeting took place among Craig (nurse leader), Reyes, Gordon, Pediatric ED Medical Director Francisco Medina, MD, and Professional Services Vice President Kenneth Spell. Craig and Reyes delivered a presentation on the following topics:
(1) Successes of the new rapid care process and opportunities for improvement;
(2) Benefits of increasing the medical and RN coverage during peak census from 1 p.m. to 1 a.m. (TL2 02a Pediatric Rapid Care Presentation, slide 9); and
(3) The efficiency of ancillary departments in expediting flow in the pediatric ED.
During the above presentation, Craig advocated for the addition of 2.3 full time equivalents (FTE) to support the rapid care area. At the end of said meeting, Craig submitted an FTE justification to Gordon to get approval for the requested FTE (TL2 03a Pediatric Rapid Care Meeting Minutes 2/7/13).
Summary Attachments/Hyperlinks/Evidences
TL2 02a Pediatric Rapid Care Presentation, slide 9
TL2 03a Pediatric Rapid Care Meeting Minutes 2/7/13