1. Field Observations – Northside/Piedmont Hospitals Maxim, Samrudhi, Pallavi October 5, 2010 HS 8300

2. Conclusions Piedmont Hospital Northside Hospital Introduction Outline

3. Introduction  The original facility had 250 beds but has since been expanded to 537 beds  Northside has nearly 600,000 patient encounters annually  Nearly 1,800 physicians and more than 5,000 employees

4. Introduction  A major hospital in northeast Atlanta, Georgia  The facility has 481 beds, all private rooms  3,000 employees and a medical staff of more than 800 board- certified, experienced physicians

5.  Decentralized model of care  Nurses at bedside  Drugs at bedside

6.  Rotational booms  Motorized driven beds  Acoustical proof room

7.  Drugs maintained in a wall  Cabinet is too big for nurses  A nurse is too short  No place if boom is widely open

8.  Total lack of EHR  Dust between boom arms  More connection to the pharmacy

9.  American Recovery and Reinvestment Act of 2009  Smart drug cabinets  Reduce the size of sinks/tables

10.  Open visitation policy  Presence of intesivists most of the time  Specialized nurses / Nurse practitioners

11.  Patient vizualization  Motorized driven beds  Positive/Negative airflow

12.  No family comfort  No drug cabinet in the room  Long waiting time for beds

13.  Lack of software communication  Too much alarms / music noise  Errors due to sensitive screens and pumps  Unused space

14.  American Recovery and Reinvestment Act of 2009  Smart drug cabinets  Noise filtering devices

15.  More physical works for nurses in Piedmont

16.  Differences in patient visualization

17.  No differences between storage rooms

18.  1 fall in the last 2.5 years

19. Conclusions  Motorized driven beds are standard in the hospitals  Visualization of a patient is a problem in several cases  No place to grow  No medication cabins inside the rooms  Lack of EHR / EMR in both hospitals