NRS 490 Topic 2 DQ1

During your practicum, determine what clinical problem or issue the organization is facing. Discuss two implications for nursing. Practicum site is a  health care  agency  hire nurses to go to individual patient homes.

The addition of rooms in the emergency department I did my practicum caused wait times to skyrocket. Having patients wait upwards of four hours to see a physician placed the children and our bedside staff at a great disadvantage. The old system called that every patient be triaged and roomed only by triage nurses on shift at the time; being understaffed and overwhelmed called for a change in practice. I suggested to my preceptor that they begin having the ER techs and LPN’s assigned to the triage nurses to help bring in patients, weigh (and measure pediatric patients) and obtain vital signs. This reduced will reduce wait times, alleviate the burden of performing these thigs for triage nurses and ensures all available staff is proactive and may eventually improve their patient satisfaction rates. I predict that the new protocol will even increase their HCAPS scores and reimbursement rates. For those who are unfamiliar, HCAHPS is a survey contrived to measure patient satisfaction with regards to the entire hospital experience (Aston, 2012). The implications for nursing professionals for having additional rooms with the same amount of staff translates into an understaffed facility with decreased patient and employee satisfaction rates. Facilities may avoid these issues by staffing accordingly which may be a financial investment with dividends that will pay off with increased patient safety and decreased mortality rates (Cronje & Moch, 2012).


Aston, G. (2012). Smart pain management makes good business sense: it’s now a key factor in HCAHPS scores–and therefore, reimbursement. Hospitals are stepping up to the plate. Hospitals & Health Networks, (6). 38.

Cronje, R. J., & Moch, S. D. (2012). Envisioning Undergraduate Nursing Students as Opinion Leaders to Diffuse Evidence-Based Practice in Clinical Settings. Journal of Professional Nursing, 2623-28. doi:10.1016/j.profnurs.2009.03.002

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