Development and implementation of a patient acuity tool for a medical-surgical unit. Academy of Medical-Surgical Nurses. A new patient-acuity tool promotes equitable nurse-patient assignments. American Nurse Today.
Dear Mrs. Andrea Ingram, and Jennifer Powell, Thank you for a very intersting study. We are interested in implementing it in our hospital. May we ask : 1 Is it applicable to all types of patient population or restricted to medical surgical as the the title of the article suggests? We started a project on my unit about four years ago using EPIC to created a tool for our surgical trauma progressive care.
Working with our EMR nurse team, we were able to customize the tool to fit our patient population. If you would like more information, please let me know. Interesting article, thank you for acknowledging and taking action to help improve a system. It would be ideal to have a universal acutiy tool that all units can adapt to their speciality. I was wondering how you than use this tool to decide how many staff you require on the ward? If you have so many orange and red level patients, are you able to aquire more staff?
Or are you only using this tool to allocate patients equitably between the 5 staff you have? This is an interesting article, but I think the use of quantitative measures such as means on ordinal scales is incorrect.
In other words, one cannot assume that the difference between responses is equidistant even though the numbers assigned to those responses are. The response options were never 1 , rarely 2 , sometimes 3 , frequently 4 , and every shift 5. I would suggest reporting the percentage of each classes and the median 1. This would be transparent and avoid false interpretations if the answers were clustered at the high and low extremes.
Either the tool needs to be less interpretation-free and have more quantitative criterias or the nurses need to have the same interpretation of each criteria before using the tool.
I want to thank you for your work as it is a great start and hope you continue to enhance this potentially powerful tool. Sullivan, Gail M. Artino Jr. Nice article on acuity. Many years I developed numerous acuity systems from P. Can I use this tool? Thank you. Thank you Great article. I was wanting to contact author about the possibility of using this tool. And i think your study will be of great help. But before my hospital can adapt this, it has to be grounded with a study and so I will be making a study on this and would like to use also your survey with some revisions that is applicable to us if you could allow me.
Thank you in advance. Thank you all for the responses to the article! I am sorry it has taken me this long to respond, but I would love to provide the survey used. You are more than welcome to adapt our tool to fit your patient population. I hope it works out well for your staff! How long have you been a nurse?
How long have you been a nurse on 6A? In my opinion, I feel that patient assignments are equal between nursing staff. Strongly agree, agree, neutral, disagree, strongly disagree. This is why acuity-based staffing models are so popular. Saint Joseph Hospital in Chicago implemented a software program—Res-Q from Concerro—to track and predict nurse staffing needs based on acuity.
The program allows nurses to assign relative weight to patients that indicate how much care those patients need. For example, whether they require ventilation or have a central line. Mary Anne Harper, clinical manager of maternal child services, explains that before launching the program, her department discussed the amount of time nurses spend on the various patient types in maternal-child nursing, e.
The weights assigned were reviewed and agreed upon by the entire system. Once the program was implemented, she says it was fairly easy to roll out to nurses. If they are more acute, they will be on a telemetry floor. SO I think most actue care hospitals determine acuity as to what unit they are on. If these patients are more acute than what your unit usually handles, perhaps they need an upgrade in status to a different unit?
Specializes in Emergency, Administration. Has 13 years experience. Jun 2, I am a manager of the staffing office and we use an evalysis tool. I am currently looking to learn more about others and have seen several systems in conference settings. I like the Evalysis tool because it is not a sum of task. It incorporates what the patient needs and support and defense of budget.
We are in Southern California and have mandated ratios but we also have an acuity requirement to determine if the need for more staff arises. It is not subjective but does have to be learned to use correctly.
Jun 4, I'm the nurse manager of a child psych unit and we use an acuity system that staff designed, so it's not just for critical care. We get more staff for kids, kids who are a special 3 day intensive issue work program, etc. Our acuity based staffing solution helps you achieve better patient outcomes, increased employee satisfaction, more efficient employee scheduling and cost savings.
Softworks Patient Acuity solution identifies the amount of nursing care needed for each patient based on the level of dependency, intensity, complexity and tasks to be completed. We help you automate complex scheduling in a fair and equitable manner, drive efficiencies, reduce costs and ensure regulatory compliance, while simultaneously delivering exceptional patient care.
Bon Secours , the largest private healthcare provider in Ireland uses Softworks to manage their complex rostering schedules and shift patterns.
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