nursing-care-2019-posters-abstracts

allied

academies

Page 41

May 23-24, 2019 | Vienna, Austria

Nursing Care

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

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.