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  • Work Simplification in Patient Endorsement: Al Greig S. Samedra, RN, MAN

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    Harby Ongbay Abellanosa
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    This nursing quality improvement project aims to simplify the patient endorsement process through implementing a one-on-one endorsement method. The current process involves a general endorsement from the outgoing desk nurse to all incoming personnel, taking over an hour and prone to errors. The proposed one-on-one method would have the outgoing desk nurse prepare a tentative patient assignment, then conduct individual endorsements between directly outgoing and incoming assigned nurses using a nurse endorsement sheet, reducing the total time spent to under an hour.

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    This nursing quality improvement project aims to simplify the patient endorsement process through implementing a one-on-one endorsement method. The current process involves a general endorsement from the outgoing desk nurse to all incoming personnel, taking over an hour and prone to errors. The proposed one-on-one method would have the outgoing desk nurse prepare a tentative patient assignment, then conduct individual endorsements between directly outgoing and incoming assigned nurses using a nurse endorsement sheet, reducing the total time spent to under an hour.

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    © All Rights Reserved
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    72 views12 pages

    Work Simplification in Patient Endorsement: Al Greig S. Samedra, RN, MAN

    Uploaded by

    Harby Ongbay Abellanosa
    This nursing quality improvement project aims to simplify the patient endorsement process through implementing a one-on-one endorsement method. The current process involves a general endorsement from the outgoing desk nurse to all incoming personnel, taking over an hour and prone to errors. The proposed one-on-one method would have the outgoing desk nurse prepare a tentative patient assignment, then conduct individual endorsements between directly outgoing and incoming assigned nurses using a nurse endorsement sheet, reducing the total time spent to under an hour.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    Download as pptx, pdf, or txt
    of 12

    Nursing Quality

    Improvement Project

    WORK SIMPLIFICATION IN
    PATIENT ENDORSEMENT

    Al Greig S. Samedra, RN, MAN


    Nurse Safety and Quality Officer
    Sponsor : Marilou P. Furio
    Champion : Josant O. Lopez
    Member/s : Annaleah G. Geranco
    BACKGROUND
    • GENERAL ENDORSEMENT: Outgoing RN to ALL
    incoming shift personnel
    • Considered a critical process

    • Problems encountered:
    – Overtime filed: Excess or unpaid
    – Time consuming
    – Prone to errors
    CURRENT PROCESS FLOW
    OUTGOING
    KARDEX Reading DESK NURSE Giving pt. Details

    ALL INCOMING
    Listens to report SHIFT PERSONNEL Writes down data

    INCOMING DESK NURSE PREPARES


    PATIENT ASSIGNMENT
    INCOMING NURSES READS CHART Chart Review

    ROUNDS TO ALL PATIENTS BY THE


    OUTGOING DESK NURSE AND ALL
    INCOMING SHIFT PERSONNEL
    TIME AND MOTION
    ACTIVITY AVE. TIME SPENT
    Outgoing Desk Nurse: General Endorsement 30 minutes
    (Kardex)
    Incoming Desk Nurse: Patient Assignment 10 minutes
    Desk and Assigned Nurses: Chart Review 40 minutes
    Desk and Assigned Nurses: Bedside Rounds 23 minutes
    TOTAL 103 minutes
    (1 hour and 43 minutes)
    Ave. Number of Patients 25 patients
    Nurse : Patient Ratio (not established) 1:8
    QUALITY IMPROVEMENT
    • ONE ON ONE ENDORSEMENT : Handover of
    outgoing assigned nurse to the incoming
    counterpart.

    • Use of WORK SIMPLIFICATION Technique


    WORK SIMPLIFICATION
    TECHNIQUE PROCESS
    • Eliminate unnecessary General Endorsement of Desk Nurse to
    steps all Incoming Shift
    • Combine related steps One-on-one endorsement of assigned
    nurses & Chart Review

    • Change the sequence of Patient assignment done first by desk


    steps nurses (outgoing & incoming)
    • Add capacity or resource Nurse Endorsement Sheet (NES)
    SIMPLIFIED PROCESS FLOW
    Outgoing Desk Nurse
    prepares tentative Patient Assignment

    Incoming Desk Nurse approves


    prepared Patient Assignment

    KARDEX Reading Outgoing Desk Nurse Outgoing Assigned Nurse NES Reading

    Giving details Incoming Desk Nurse Incoming Assigned Nurse Giving details

    PATIENT ROUNDS PATIENT ROUNDS


    TIME AND MOTION
    ACTIVITY AVE. TIME SPENT
    Desk Nurse : Patient Assignment 9 minutes
    Desk Nurse : One-on-one Endorsement 12 minutes
    Assigned Nurse : One-on-one Endorsement 20 minutes
    Bedside Rounds 18 minutes
    TOTAL 59 minutes
    Ave. Number of Patients 24 patients
    Nurse: Patient Ratio (not established) 1:8
    CONCEPTUAL FRAMEWORK

    One-to-one method of
    Patient endorsement

    Increased time utilization


    Increased info retention Customer Satisfaction
    Personalized attention

    Quality Service
    TIME SPENT vs. TIME SAVED
    ACTIVITY Traditional One-on-one
    endorsement
    Outgoing Desk Nurse: General Endorsement 30 minutes
    (Kardex) 21 minutes
    Incoming Desk Nurse: Patient Assignment 10 minutes
    Desk and Assigned Nurses: Chart Review 40 minutes 20 minutes
    Bedside Rounds 23 minutes 18 minutes

    TOTAL TIME SPENT: 103 minutes 59 minutes

    TIME SAVED: 44 minutes


    RECOMMENDATION

    • Implementation of Nurses’ Endorsement


    Sheet (NES)

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