W 5 R see attachment

Make a follow-up of a student’s weekly discussion and respond with your opinion regarding to her post

——You don’t have to post this in APA format necessarily, it’s just giving feedback to the student .

Heath Rainey

The concern I have in the emergency department is resource utilization due to lack of equipment such as bedside iStat machines.  This concern occurs on the micro level.  Patients such as stroke, myocardial infarction, or trauma that may need a creatinine or troponin level at bedside before being transported for CT scan.  I would address this issue by prioritizing use of iStat machines for patients that require labs immediately.  Lack of diagnostic equipment such as iStat machines impacts the meso level of the complex adaptive system because a CT is necessary to determine if a stroke patient should be transported to a comprehensive stroke center.  Without the iStat machine the patient must wait for results from the lab and the delay in labs will delay treatment for the patient.  Increased wait times may lead to increased mortality, hospital cost and medical errors (Petrie & Comber, 2020).  Interprofessional collaboration could be used to establish a stat lab result pathway in EPIC for lab to prioritize labs from strokes and myocardial infarctions over other patients.  At the micro level, the Unit Based Council can use data from performance results to provide evidence for additional funding for the iStats in the emergency department (DeNisco & Barker, 2015). This interprofessional collaboration will be used to adapt until funding is available for the organization to purchase more iStat machines. 

References

DeNisco, S., & Barker, A. M. (2015). 
Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Jones & Bartlett Learning.

Petrie, D., & Comber, S. (2020). Emergency department access and flow: Complex systems need complex approaches. 
Journal of evaluation of clinical practice, 26(5), 1552-1558. doi: 10.1111/jep.13418