Nursing Leadership: Improving Bed Management Efficiency

This week we talking about patient efficiency and the impact nursing has on moving the patient to the right place at the right time 

Transcript

Choehns: 0:08

Welcome to Nursing Together, the podcast where we explore the heart of nursing leadership and the impact that we make every day. I'm your host, Michelle Hoen, and today we are diving into a topic that is at the center of both patient experience, hospital success, and patient outcomes. It's efficiency and the importance of moving the patient through the system with purpose and compassion. Bed management is critical to the efficiency operations of any hospital. Many struggle with processes as it requires a tight collaboration with multiple stakeholders. The purpose. Assigning patient's beds. Many seem simple, however it is extremely complicated. Often a lack of transparency in the process, and a lack of measured and reported key performance indicators result in increased complexity, creating transparency. Into the practice. Streamlining, communication and measuring key performance indicators is crucial to optimizing the entire bed management process. Nurses play a key role in identifying and addressing existing and potential bottlenecks. Such as delayed discharges that make a difference between the hospital having capacity to take on new admissions, or having to board patients in the emergency department, or even worse, diverting patients to other facilities. It also helps when we need to be, transferring patients throughout the whole organization and the streamlining of making sure that the patient is receiving the right care at the right time. There are extreme consequences to the lack of efficiency processes and transparency in bed management. Often hospitals will struggle with delayed patient placement, reduction of admission and a decrease in physician and patient satisfaction. Placing the right patient in the right place at the right time. Not only is a satisfier, but it is proven to reduce quality metrics and increase nursing. Competencies. When we talk about efficiency in healthcare, it isn't about rushing or cutting corners. It's about creating a system where patients receive timely and high quality care without unnecessary weights, delays, or barriers. For patients efficiency means fewer hours in waiting rooms quicker. Admissions. And discharges and the comfort of knowing that their care is moving forward. For hospitals, efficiency means better use of resources, reduced costs, and the ability to care for more patients when they are in need. So how can nurses play a role in patient flow? Well, this becomes very vital actually for nurses to keep patients moving throughout their care journey. And here are some ways that nurses affect how patients move quickly through our system. First is assessment and prioritization. Nurses are often the first to recognize when a patient's condition is changing. By rapidly assessing and prioritizing, we can move patients to the right level of care at the right time. For example, in an emergency department, a triage nurse can notice that the waiting room is quickly filling up. Instead of waiting on orders, she can use her assessment skill to flag patients who need higher levels of care. By escalating quickly and communicating with the charge nurse, physician, and other areas of the hospital, patients can get admitted quicker and within the hour, improving their outcomes while also opening up space in the emergency department. For other patients that need that time. This provides the emergency department to get patients through the system very quickly and assuring that all patients are getting the care that they needed at the right time. Communication and collaboration nurses act as the central link between the physicians, the ancillary areas, and families. Clear communication prevents delays, ensures timely orders and smooth transactions from one level of care to the other. In the ICUA patient was ready to step down, but delays in communication often slowed the process. A nurse took a lead in calling the step down unit and arranging transport, confirming the handoff details. Because of her proactive coordination, the patient transition smoothly within the same shift, freeing up that critical ICU bed for another patient who needed it. And finally, for our nurses, is that discharge planning from day one. By thinking about discharge needs, as soon as the patient is admitted, nurses can anticipate the barriers, like medication access, home support, or follow-up appointments, and can start beginning to coordinate what is needed throughout the hospital Stay. Getting the patient up in a timely manner, making sure that they're walking, making sure they don't need additional equipment when leaving, asking the physician to start weaning the patient down their oxygen, making sure we're doing walking oxygen with pulse ox. These are many of the different things than a nurse can do to help with that discharge planning on day one, an example would be on a medical surgical unit. A nurse admits a patient with pneumonia and immediately asks about the home medication. Mobilization and family support. She learned that the patient lived alone with limited transportation by involving the case manager on day one. She arranged home health and medication delivery before the discharge, preventing most likely a readmission. What are some of the great benefits that we can have? On efficiency and the impact that efficiency has on not only the patient but the hospital and. Employee engagement for the patient.. It's a shorter length of stay. Reducing that risk of a hospital inquired complication, and a smoother, less stressful care experience for the hospital. It improves the capacity. It reduces readmissions and stronger financial stability to reinvest in staff and resources. And then finally for the actual staff in the hospital, it provides less bottleneck stresses and more time at the bedside, and a sense of accomplishment in providing high quality, timely care. Efficiency in patient flow isn't about the speed. Just for the sake of speed. It is about aligning our processes with what patients need most, timely, compassionate, and coordinated care. As nurses, we are uniquely positioned to make that happen. By working together, communicating clearly, and planning ahead, we help patients move forward. Towards healing towards home and towards better outcomes. So here's our challenge this week, take a look at your unit and ask yourself, where is the one place that we can remove a barrier and patient flow? It might be improving how we communicate during handoff, starting discharge planning earlier, or asking the simple question, what's the next step for this patient right now? Small changes when done together create a big impact. Thank you for joining me today and nursing together. Remember, every action that we take improves efficiency and is another step towards excellence for our patients and our profession. Until next time, let's keep leading, learning and nursing together.