I Run Track (Part 2)
In my previous post, I introduced you to an emergency department (ED) charge nurse named Tracy. Tracy had a common problem: she was spending most of her shift running circles around the ED gathering status information because she didn't have a current, comprehensive, reliable picture of what was happening with patients, staff, beds, and assets.
Poor ED Visibility
Tracy's woes stemmed largely from poor visibility of her environment. The area had a massive footprint; it spread 50+ beds across four major zones. The department's physical layout--the product of multiple questionably planned expansions and refurbishments--made it impossible to see more than a few beds at a time. Patients frequently moved back and forth to and from ancillary areas like radiology. Plus, it was hard to physically locate doctors, nurses, and other staff without overhead pages (or shouting).