Comment on the post of the peer student’s comments. Points from other participants clearly built upon and/or refuted. Promotes interaction, asks questions, and/or deepens the discussion. Each post must cite and reference at least one peer-reviewed source (a journal article published within the last 5 years) in APA 7th edition.
This peers post:
Shadiah Amin post
Across the country, emergency departments are boarding admitted patients as there is no availability of inpatient admissions. These patients, on average, can be boarded for up to 24-48 hours, depending on the lack of inpatient beds. At Sentara Norfolk General Hospital, this is a common occurrence. Patients who are boarded the greatest are ones in need of telemetry. These patients must be closely monitored due to their conditions. At times, these patients remain boarded in the emergency department until discharge. To better understand this phenomenon, an article written in The Journal of American College of Emergency Physicians Open discusses an emergency department that implemented an ED-ICU to address the boarding issues of ICU level patients in the emergency department as well as patients who due to the boarding in the ED as well as the change in the level of care due to the deterioration in the patient’s condition.
The article was submitted on March 20, 2023, revised August 10, 2023, and Accepted August 18, 2023. This indicates that it is a peer-reviewed scholarly article in the Journal of American College of Emergency Physicians Open. This article, while short in length, includes an abstract, an introduction, methods, results, tables, and references. It also has multiple medical doctors and a PhD who contributed to the article and study. The article is a study of an emergency department that implemented an ED-ICU to address the overflow issue in the emergency department. The title of the article is “Impact of Emergency Department-based Intensive Care Unit on Outcomes of decompensating boarding emergency department patients” (Doan et al., 2023). This is the webpage link where I found my article: blob: https://oce-ovid-com.radford.idm.oclc.org/12729311-c2d3-41c6-9d24-d2c2b01d130f, the doi is doi: 10.1002/emp2.13036.
The article discusses a study that was conducted of the” University of Michigan Health System’s implementation of the Joyce and Don Massey Family Foundation Emergency Critical Care Center” (Doan et al., 2023, pg 2). This is an ED based ICU to address the overflow boarding of patients in the emergency department within their healthcare system. This study was conducted from October 2012 to December 2021. It broke the patients up into three groups, “Group 1, pre-ED-ICU implementation, Group 2, post-ED-ICU implementation with transfer to ED-ICU, and Group 3 post ED-ICU implementation with direct admission to inpatient ICU without ED-ICU care” (Doan et al., 2023, pg 2). The study followed a total of 1702 ED patients that were admitted to the ICU either initially or due to a deterioration in patient condition necessitating an ICU level of care. After the study, it discussed the decrease in ICU LOS <24 hours due to the implementation of the ED-ICU as well as a more collaborative effort between the ED physicians and ICU hospitalist in the continuity of care for ICU patients in the ED (Doan et al., 2023, pg 4)
This week has been an especially trying week for managing my time between school, home, and work life. Thankfully it is the end of the week and I have accomplished a majority of the goals I have set for myself. The biggest challenge I have faced is remaining motivated to complete the tasks. I have found that breaking them up into manageable parts is still the best method to finish them as well as recognizing my limitations and working with them instead of against them. I continue to strive to work with my limitations and most importantly not to give up on myself and recognizing when I need assistance to ask for it.
