Assuntos
Procedimentos Cirúrgicos Cardíacos/enfermagem , Unidades Hospitalares/organização & administração , Enfermagem em Pós-Anestésico/organização & administração , Privação do Sono/enfermagem , Procedimentos Cirúrgicos Cardíacos/psicologia , Pesquisa em Enfermagem Clínica , Humanos , Pesquisa em Avaliação de Enfermagem , Satisfação do Paciente/estatística & dados numéricos , Sono/fisiologia , Privação do Sono/fisiopatologia , Privação do Sono/psicologiaRESUMO
An intermediate care decision tree tool was developed to meet the demand for intermediate care beds. Concurrently, a charging process was developed to support the acuity adaptable model of care, allowing the patient to remain in the same bed from admission to discharge, regardless of level of care required, adjusting nurse-to-patient ratios as acuity changes. Since beginning this pilot, 96% to 100% of the patients admitted to intermediate care from the emergency department met the criteria. Wait time from request to admission was reduced from 5.5 hours to 2.5 hours. A reduction in nursing costs was noted. The average number of patients waiting daily in the emergency department for an intermediate care bed has been reduced by approximately 80%. A significant difference in length of stay was not noted.