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Nursing Theory

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At St. Mary’s Hospital there is a need for dedicated admission staff. Several reasons why are:
1. Improve Patient flow
2. Improve Patient satisfaction
3. Increase safety
4. Monitor Flow of visitors

Patients currently enter hospital and are either registered at the business office, or directed to another area of the hospital and registered, depending on their business. The current system does not create a controlled environment and causes unnecessary steps for an efficient admission process. Unit Coordinators are currently the main admitters of Emergency Department and Inpatient admits, and because of the multiple interruptions of the Coordinator, mistakes are being made that are costly to the hospital. See problems:

Problem: 1. Mistakes are being made on admissions due to not having a designated admit clerk.

Mistakes on admissions that affects other departments include using two admit numbers, incorrect times on admits and discharges, incorrect insurance data collection, and missed Insurance verification, which could all be greatly reduced or eliminated with a regularly scheduled admission clerk.

Nursing Staff admit patients after the front business office closes, Unit Coordinators are trained with this task; however coverage by the Unit Coordinator begins at 0630 and ends at 2300. After 2300 nurses admit patients but are not proficient at the process, because they have multiple other responsibilities.

It has been stated that it is estimated that St. Mary’s Hospital is spending $4000/month employee time correcting errors from incorrect admitting practices during non-business hours. Employee hours fluctuate through the workday depending on the work needing done on errors. This stated figure may not reflect the true cost.

2. A designated admission clerk would be able to provide uninterrupted

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