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Obstetrics and Gynecology Commons

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Full-Text Articles in Obstetrics and Gynecology

Improving Patient Flow By Increasing Early Discharges On A Mother & Baby Unit, Faye Weir, Joy Moody, Kathleen Cyr, Cathy Palleschi, Stephen Tyzik, Joseph East, Heidi Morin, Suneela Nayak, Ruth Hanselman, Amy Sparks Sep 2019

Improving Patient Flow By Increasing Early Discharges On A Mother & Baby Unit, Faye Weir, Joy Moody, Kathleen Cyr, Cathy Palleschi, Stephen Tyzik, Joseph East, Heidi Morin, Suneela Nayak, Ruth Hanselman, Amy Sparks

Operational Transformation

Discharging patients early in the day has many advantages amongst which is increased bed availability. However, the experience in a large academic tertiary medical center demonstrated that most discharges occurred early to mid afternoon. A care team on a mother /baby unit established a quality improvement project to increase the number of discharges by 11AM and streamline key discharge planning activities.

A root cause analysis identified multiple barriers to attaining he established goals. To address these barriers, a multi prong approach was instituted to include a discharge education KPI for all unit staff.

Data collection post countermeasure implementation demonstrated some …


In Patients Having A Robotic Hysterectomy, How Does The Amount Of Iv Fluids Given Post-Operatively Affect The Patients' Length Of Stay?, Heidi Fox Jan 2019

In Patients Having A Robotic Hysterectomy, How Does The Amount Of Iv Fluids Given Post-Operatively Affect The Patients' Length Of Stay?, Heidi Fox

Interprofessional Research and Innovations Council

In patients having a robotic hysterectomy, how does the amount of IV fluids given post-operatively affect the patients' length of stay?

Heidi Fox, RN III, CAPA, ASU, MMC

Background: Over the last few years, ASU (ambulatory surgery unit) nurses have noted difficulty with discharging patients undergoing robotic hysterectomy in a timely manner due to both nausea and the inability to void. The nurses have also discerned inconsistencies with regards to the post-operative care including pre-operative bowel prep, amount of IV fluid given post-operatively and anti-nausea meds given. This prompted a literature search and a critical appraisal of pertinent research articles …