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Page 41
May 23-24, 2019 | Vienna, Austria
Nursing Care
28
th
International Conference on
Journal of Intensive and Critical Care Nursing | Volume 2
J Intensive Crit Care Nurs, Volume 2
The Bed Nurse Manager to improve the patient flow within the hospital
De Luigi A, Lanteri D, Arnaud P, Maniero M, Franciotti C, Fraternali A
and
Arione R
San Luigi Gonzaga University Hospital, Italy
C
entralized coordination of hospital beds was necessary
to face the continuous overcrowding in the emergency
room and the progressive reduction of acute care beds, for
this purpose Bed Managers, often Nurses, have been set
up in many Italian hospitals. This figure, borrowed from the
Anglo-Saxon contexts, is an important reference point for the
management of the patient's care path and is able to combine
the different clinical and care needs in order to include the
patient in the appropriate care setting in the shortest possible
time. The primary activity of the Bed Manager is to establish
constant connections between the emergency room,
individual operating units, and services for continuity of care.
Since 2015, in a university hospital in Turin, two Coordinating
Nurses have been identified to facilitate the path of the
patient from the Emergency Room to the operating units in
the hospital. A Nurse Manager's skills profile was formalized
and training opportunities were created for the two Bed
Managers, in 2017 the role of Bed Manager Nurse for the
surgical area and for the medical area was made official. The
activities of Bed Managers are adapting work practices to the
general context, reducing overcrowding by reducing hospital
stays, planning interventions to anticipate the demand
for beds and promptly adopting measures for necessary
interventions. Today there are no certain data that correlate
Bed management activities with improvement of care;
however, reduction of hospitalization days, prompt admission
of patients in the most appropriate care setting, reduction of
hospitalizations outside the competent operating unit, and
improvement of the relationships between the emergency
room and hospital wards confirm the usefulness of the
function of the Bed Manager Nurse and the capability of
nurses to manage the care path of the patient in order to
reach the appropriate care setting.
e
:
anna.deluigi@unito.it