field observations – northside/piedmont hospitals
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Field Observations – Northside/Piedmont Hospitals. Maxim, Samrudhi, Pallavi October 5, 2010 HS 8300. Outline. Introduction. Northside Hospital. Piedmont Hospital. Conclusions. Introduction. The original facility had 250 beds but has since been expanded to 537 beds - PowerPoint PPT PresentationTRANSCRIPT
Field Observations – Northside/Piedmont
Hospitals
Maxim, Samrudhi, PallaviOctober 5, 2010HS 8300
Conclusions
Piedmont Hospital
Northside Hospital
Introduction
Outline
Introduction
The original facility had 250 beds but has since been expanded to 537 beds
Northside has nearly 600,000 patient encounters annually
Nearly 1,800 physicians and more than 5,000 employees
Introduction
A major hospital in northeast Atlanta, Georgia
The facility has 481 beds, all private rooms
3,000 employees and a medical staff of more than 800 board-certified, experienced physicians
Decentralized model of care
Nurses at bedside
Drugs at bedside
Rotational booms
Motorized driven beds
Acoustical proof room
Drugs maintained in a wall
Cabinet is too big for nurses
A nurse is too short
No place if boom is widely open
Total lack of EHRDust between boom arms
More connection to the pharmacy
American Recovery and Reinvestment Act of 2009
Smart drug cabinets
Reduce the size of sinks/tables
Open visitation policy
Presence of intesivists most of the time
Specialized nurses / Nurse practitioners
Patient vizualization
Motorized driven beds
Positive/Negative airflow
No family comfort
No drug cabinet in the room
Long waiting time for beds
Lack of software communication
Too much alarms / music noise
Errors due to sensitive screens and pumps Unused space
American Recovery and Reinvestment Act of 2009
Smart drug cabinets
Noise filtering devices
More physical works for nurses in Piedmont
Differences in patient visualization
No differences between storage rooms
1 fall in the last 2.5 years
Conclusions
Motorized driven beds are standard in the hospitals
Visualization of a patient is a problem in several cases
No place to grow
No medication cabins inside the rooms
Lack of EHR / EMR in both hospitals
