• ED Manag · May 2012

    Rapid intake, empowered nursing staff energize no-wait ED model.

    • ED Manag. 2012 May 1; 24 (5): 53-6.

    AbstractBy empowering front-line staff to come up with some of their own solutions, the ED at Swedish Medical Center in Issaquah, WA, has implemented a no-wait model that eschews traditional triage in favor of a rapid intake process that puts patients in beds immediately and kick-starts the evaluation process. While the approach has proven challenging to implement and maintain, patient satisfaction is greater than 95%. The no-wait model was developed and fine-tuned by the staff at a free-standing ED that preceded the opening of the hospital in Issaquah, WA. Key to the approach is a team-based system that puts all personnel on the same level with no hierarchical structure. In the model, charge nurses are under constant pressure to make sure a room is always available for the next patient, and nursing staff are empowered through protocols and standard order sets to respond to patient needs before physicians complete their assessments.

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