friday 9.12.08: 8pm-11pm saturday 9.20.08: 8am-12pm monday 9.22.08 group 7 members: kelly bao to...

Emory University HospitalEmergency Department Field Observation

Friday 9.12.08: 8pm-11pmSaturday 9.20.08: 8am-

12pmMonday 9.22.08

Group 7 Members:Kelly Bao ToDenis Masse

Girish Venkatesh

How to get to Emory’s ED

9/23/2008 To, Masse, Venkatesh 2

- Open 24 hours a day, 7 days a week - 26,000 patients annually

1364 Clifton Rd.Atlanta, GA. 30320 (404) 712-7100

We’re almost there…

9/23/2008 To, Masse, Venkatesh 3

Valet parking One more door

The Waiting Room Can get very crowded.

No separate area for children or those with severe acuity.

9/23/2008 To, Masse, Venkatesh 4

Let’s Get Treated!The 4th door the patient has to go through before reaching a health care professional.

9/23/2008 To, Masse, Venkatesh 5

The Hall - Hallway width is a rough equivalent of two hallway beds

- EMS service comes in from the back

- Critical care room placement

- Centralization of doctors & nurse at one station

9/23/2008 To, Masse, Venkatesh 6

The Hallway BedPatient’s vital signs can be monitored.

There is no privacy.

9/23/2008 To, Masse, Venkatesh 7

The Doctor

9/23/2008 To, Masse, Venkatesh 8

Working up a patient - EMR Talking to Radiology/Surgery/etc

The Nurse

9/23/2008 To, Masse, Venkatesh 9

The storage room.

Moving the mobile cart.

PYXIS MedStationAutomated Medication Management Technology

9/23/2008 To, Masse, Venkatesh 10

PYXIS: Narcotics- Account for usage

Non-narcotics

U2 - “I Still Haven’t Found What I’m Looking For”

9/23/2008 To, Masse, Venkatesh 11

12

3

Space Utilization

9/23/2008 To, Masse, Venkatesh 12

Another hall in the ED. Has patient rooms, but less noise and less crowded

Signage

Mobile Carts

9/23/2008 To, Masse, Venkatesh 13

LEAN strategic room

Emergency department Disaster CartTriage Operations

GYN Cart ENT Cart

Stress Reduction

9/23/2008 To, Masse, Venkatesh 14

Problem Statement

“Impacts of stress and stress related illness in the emergency room is an issue of high concern. It has been researched that a good number of the nurses, doctors and the family members of admitted patients in the ER are prone to stress related illness.”

Observation Stress due to design of

building 60’s Design Narrow Walkways Bathroom Access High Noise Levels

White noise instruments did not work

Critical Incidents due to stress Security personnel 6 incidents in 6 months

Patient Stress Feels ignored when alone Pain Beeping on monitors

Staff Stress Break room less equipped and far off. Handles 4 patients each

Stress Induced by:

Improper Communication

Noise Privacy Morale

“Wherever the art of medicine is loved, there is also a love of humanity” - Hippocrates

9/23/2008 To, Masse, Venkatesh 16

9/23/2008 To, Masse, Venkatesh 17

CONTACT

Kelly- gtg552y@mail.gatech.edu

Girish - gvenk@gatech.edu

Denis - dmasse3@mail.gatech.edu