Part 4

booc741

PolicyinAdmissionCriteria.pptx

Home >Nursing homework help >Part 4

Policy in Admission Criteria

Name

Date

Objectives

The presentation identifies and explains admission policy in the PICU.

An identification of the policy objectives and goals will be enabled.

Recommendations as per project findings will be stipulated for policy effectiveness.

The presentation will explain on how policy change in PICU admission criteria will enable effectiveness in other units. Further, an identification of the project goals, objectives, and rationale will provide further insights on why the policy guidelines are essential in enabling PICU admissions. Variations in policies define different levels of patient prioritization in hospitals (Lalitha et al., 2019). The guidelines are imperative in providing prioritization framework through the allocated unit resources and staff. Recommendations will follow the project findings stipulating how the policy will ensure effectiveness.

Project Topic

Admission policy in the unit is imperative facilitating decision-making.

Standardization of the PICU policy will increase consistency in PICU needs.

Recommendations will improve quality and resources-utilization to meet needs.

Admission policy criteria provide intensive care and comprehensive care to child patients. the decsion-making process in admission will be done by the administrative nurse of the unit. Practitioners in the PICU ought to follow the policy guidelines to ensure quality and safety is facilitated during the recovery and treatment (Lalitha et al., 2019). Standardization of the policy in unit coordination among other hospital units will lead to consistency. Having a reasonable and functional admission policy criteria, increases benefits of intensive care in the entire clinical practice. This is because the evaluations and reviews on the policy establish the admission wait time ad well as severity of condition during admission.

Project Objectives and Goals

To improve patient eligibility and prioritization admission criteria in the unit.

To identify the ratio of patient-physician required in the unit through admission policy.

To identify priority conditions needing comprehensive care and observation.

The project seeks to evaluate and review patient eligibility resulting in the establishment of prioritization admission. For instance, prioritization admission will consider the patient needs such as respiratory and cardiovascular conditions which require immediate attention. Further, the prioritization will consider patient consent during admissions (Gravel et al., 2013). The policy admission criteria to be developed will consider ratio of patient-physician during admission (Nates et al., 2016). This would ensure that the staff are not overwhelmed by the increased number of patients as changes on the guidelines are done. Priority conditions will be identified forming the prioritization model. The process would ensure that patient comprehensive care is maximum (Gravel et al., 2013).

Project Rationale

Admission criteria policies in PICU provide guidelines for intensive care.

Admission criteria policy will reduce admission wait time among children patients.

The developed policy will consider findings and recommendations from the project.

Critical and intensive care in the emergency department and PICU is critical in reducing mortality rates. The guidelines stipulate the diseases to be considered under the patient conditions during admission. The admission criteria policy in place reduces lengthy waits in the reception during the admission process. Child patients in PICU suffer from various diseases which require appropriate diagnosis, treatment, and monitoring (Hodkison et al., 2016). Developing a new admissions criteria policy will be significant in determining eligibility as per the patient needs. The new policy will consider the findings and recommendations in the project attained from facility information.

Project Methodology

Obtain information from the existing health records on patients admitted in the unit.

Review and evaluate existing admission criteria policy been utilized currently.

Conduct a review of treatment and medical observation methods established.

To attain information on the development of the policy, several strategies will be utilized to obtain information. For example, existing health records on patients admitted in the unit will be reviewed to determine policy changes to be adopted. In addition, the health records will stipulate the patient needs and conditions which need to be included in the eligibility and prioritization framework. Adopting policy guidelines on admission can influence developments in pediatric critical care (Oliva et al., 2018). A review of the existing PICU admission policy will also be evaluated during the policy development. The changes will follow treatment and medical methods observation during the admission criteria.

Continuation

Conduct a survey on patient and physician preferences on the admission policy.

Review and evaluate new technological needs in complex interventions.

Identify minimum standard care and services available and how they can be improved.

Conducting a survey on the patient needs and physician preferences will be vital in the policy development. This will entail a review of technological needs which have to be incorporated during complex interventions in the unit. Minimum standard care in the unit is stipulated in the policy guidelines providing support in the development of the policy (Lalitha et al., 2019). The method follows evaluation of minimum standard care and services in place which will be considered in the new policy. In addition, admission criteria as per condition will consider the availability of care services at the institution.

Project Findings

Admission of some patients, especially cancer patients has been slow.

Comprehensive care strategies during admission have led to recovery and condition management.

Prioritization needs have limited the available staffing requirements in the unit.

Findings carried out articulate that the admission criteria for patients suffering from cancer have been low as compared to respiratory and surgical conditions. This is associated with the increased transfer criteria procedures which increase staff workload. The policy developed will prioritize the admission of cancer patients in the unit with less tedious procedures. The factor will increase condition prioritization through increased staff. Further, the findings showed comprehensive care strategies during admission have led to recovery and condition management. This shows that the PICU admission criteria has been followed effectively despite the system lags in the cancer admissions.

Continuation

The multi-professional team has limited capabilities delaying admission.

Prioritization and minimal care is usually deferred to the High Dependency Unit.

Policy reforms did not consider consent of patient to surgical and medical procedures.

The employed multi-professional team is articulated to have limited capabilities such as under-staffing. The factor has influenced the admission of patients in the units and, at times, increased hospital waits in the reception. With prioritization conditions been deferred to the High Dependency Unit, the policy will regard inclusion of other conditions requiring complex intervention during admission. The existing policy can be articulated to observe reduced resolution to unstable conditions. This is seen in form of consent from the patient during surgical and medical procedures.

Conclusion

Minimum care standard is observed due to the reduced number of patients.

Changes in the policy will enable changes in the current prioritization model.

Cancer patients have to be among the prioritized patients in the policy.

The new policy will regard admission criteria in the emergency unit and PICU through changes in minimum care standards. The policy will also consider a prioritization framework in admitting respiratory conditions, neurologic conditions, toxicologic conditions, cardiac conditions, gastrointestinal conditions, and endocrinologic conditions. Changes in the prioritization and eligibility models will increase suitability during admissions limiting hospital waits. Decision-making processes during the admission will be mandated to the head nurse. The administration nurse can facilitate primary care to patients during clinical observation (Oliva et al., 2018). In particular, provision of all necessary medical assistance during reception will be enabled through the policy guidelines.

Recommendations

New technological integrations have to be incorporated enabling the admission process.

Increase the number of staffing members in the unit for admission prioritization.

Assign additional resources to cater for intensive monitoring.

Recommendations which are observed in the development of the new policy will entail new technological integrations. The technology advancements incorporated in the emergency unit and PICU will reduce the time required during patient admissions. Additionally, the policy effectiveness will be enabled through an increased number of staffing members. As per the prioritization model adopted as per the policy, adequate staffing will provide a suitable patient-physician ratio to promote wellness. Additional resources required such as IT systems to monitor patient conditions and mechanical ventilation will be considered promoting health quality.

Continuation

Changing the policy to accommodate emerging medical conditions among the patients.

Policy considerations on the inclusion of patient during decision-making.

Policy considerations on support services during transfer to or from other units.

The policy will be developed in a manner in which new medical conditions which need to be treated in the emergency unit and PICU will be included in the admissions criteria. Additionally, patients will be considered in the admission criteria policy adding their input on the treatment interventions. Besides regarding the family’s input, patients can also be given a platform in which they form collaborations during admission. Policy considerations on support services during transfer to or from other units will regard the new policy guidelines. Such can be seen in the transfer of unstable patients who require continuous monitoring.

Summary

Policy admission criteria provide guidelines in PICU.

Changes in the policy development consider patient needs, staff, and unit resources.

Standardization of the admission criteria throughout all units is imperative for consistency.

The policy will provide new guidelines in the admission criteria in all hospital units considering PICU and the ED. For optimal effectiveness, patient needs, staff needs, and appropriate allocation of resources will lead to the development of a suitable policy. Also, incorporation of the recommendations as per the findings will enable the provision of care in the unit’s context. Standardization of the admission criteria throughout all units is imperative for consistency. Under the policy, continuous improvements on quality and safety in interventions will be imperative enhancing the consistency for optimal care services. Considering admission criteria of all units will positively impact execution of the guidelines.

References

Lalitah, A., Fassl, B., Gist, RR., Shah, B., Singh, A., Vanaki, R., Maharjan, P., Batra, P., Saha, A., Patel, R. & Soans, G. (2019). Pediatric intensive care unit admissions from the emergency department in India; the 2018 academic college of emergency experts consensus recommendations. Journal of emergency and trauma care 4(1).

Olive, P., Diaz, M., Diaz, S., Vicente, G. & Blanch, L. (2018). Admission, discharge, and triage guidelines for paediatric intensive care units in Spain. Medicine 42(4).

Gravel, J., Fitzpatrick, E. & Gouin, S. (2013). Performance of the Canadian triage and acuity scale for children; a multicenter database study. Annual emergency medicine 61(27).

Nates, J., Nunnally, M. & Kleinpell, R. (2016). ICU Admission, Discharge and Triage rĞcŽmmĞnĚĂƟŽnƐ͗ A Framework to enhance clinical development of policies and further research. Critical care medicine 44.

Hodkison, P., Argent, A., Walis, R., Perera, R. & Harrison, S. (2016). Pathways to care for critically ill or injured children: a cohort study from first presentation to healthcare services through to admission to intensive care or death.