field observations – northside/piedmont hospitals

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