Field Observations – Northside/Piedmont Hospitals

1. Field Observations – Northside/Piedmont Hospitals Maxim, Samrudhi, PallaviOctober 5, 2010HS 8300

2. Outline Introduction Northside Hospital Piedmont Hospital Conclusions

3. 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

4. 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

5. Decentralized model of care • Nurses at bedside • Drugs at bedside

6. Rotational booms • Motorized driven beds • Acoustical proof room

7. Drugs maintained in a wall • Cabinet is too big for nurses • A nurse is too short • No place if boom is widely open

8. Dust between boom arms • Total lack of EHR • More connection to the pharmacy

9. American Recovery and Reinvestment Act of 2009 • Smart drug cabinets • Reduce the size of sinks/tables

10. Open visitation policy • Presence of intesivists most of the time • Specialized nurses / Nurse practitioners

11. Patient vizualization • Motorized driven beds • Positive/Negative airflow

12. No family comfort • No drug cabinet in the room • Long waiting time for beds

13. Too much alarms / music noise • Lack of software communication • Errors due to sensitive screens and pumps • Unused space

14. American Recovery and Reinvestment Act of 2009 • Smart drug cabinets • Noise filtering devices

15. More physical works for nurses in Piedmont

16. Differences in patient visualization

17. No differences between storage rooms

18. 1 fall in the last 2.5 years

19. 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

20. Questions ?