Page 35 - White Plains Hospital Annual Report 2019-2020
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Seemingly small details can have a huge impact. This has been the case in the White Plains Hospital Emergency Department, which was recently redesigned to follow a “split-flow” model, which shifts the way patients are examined and treated during their stay in the Emergency Department. Under this new dynamic, patients are placed into specific areas based on the severity of their status, allowing the ED to more efficiently assess the patients and determine the most effective care path for treatment and to either admit or discharge.
As a high-volume department — the ED saw roughly 66,000 visitors last year — efficiency is crucial to optimize both the patient experience and staff satisfaction, explains Ertha Small-Nicolas, nurse manager for the ED. The switch to split-flow, she says, has led to “improved communication among the team. Everyone knows what’s happening for each patient and we are able to more efficiently complete tasks. We’ve also improved both the patient experience and patient outcomes.”
Key to this new process is the “quick look” nurse, who will screen the patient right away at the door and initiate the right care path. “We are essentially a wait-free ED,” adds Dr. Rafael E. Torres, Director of Emergency Medicine at White Plains Hospital. “Patients spend very little time in the waiting area. They come in, provide info to the registrar to get into
“WE ARE ESSENTIALLY A WAIT-FREE ED NOW. PATIENTS SPEND VERY LITTLE TIME
IN THE WAITING AREA. THEY COME IN, PROVIDE INFO TO THE REGISTRAR TO GET INTO THE SYSTEM, AND GET STRAIGHT TO A BED.”
— Dr. Rafael E. Torres — Director of Emergency Medicine
the system, and get straight to a bed. In all cases, the registration process is completed at the bedside.”
Knowing that split-flow has proved effective and efficient in other hospitals, Small-Nicolas and Erica Dusseldorp, Senior Director of Nursing, felt it was the right way to go for the Hospital. To ensure they had buy-in from the nurses, they involved them in design and staffing decisions. “We vetted everything, even minor details like what supplies should be in each zone, through our staff to make sure they had a chance to provide feedback,” Dusseldorp explains.
As with other projects that are part of the White Plains Hospital campus transformation, bringing nurses at all levels to the forefront of the planning decision made a huge impact in ensuring a successful outcome.
  2019-2020 ANNUAL REPORT
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