Walden Management of Patients and Operations of Healthcare Facilities Discussion

I need a response to the post below:

According to the scenario provided for this week’s discussion, a nurse manager at a 20-bed for-profit nursing home facility with 100 beds has been notified and tasked with identifying the cause for unnecessary patient transfers to the ER. Using a transformational style as the nurse manager, I would encourage and positively motivate my nursing staff to perform daily tasks to their best abilities (Yoder-Wise, 2019).

My first plan to reduce the number of avoidable patient transfers to the ER would begin by first analyzing the current staff nurse to patient ratio. According to the CDC, inadequate staffing and limited resources in many nursing facilities contribute to many avoidable ER visits for nursing home residents. Therefore, I would ensure additional staff to lessen the nurse-to-patient ratio and promote teamwork through positive reinforcements and incentives to ensure that every patient receives quality patient-centered care.

Another intervention would be for the nurse manager to understand the cause of all the inappropriate ER transfers and make appropriate modifications. Recommended interventions can be implemented for quality improvements (Perrin et al., 2017). Also, she should consult with the nursing home to educate their nurses on using SBAR, contacting facility on-call providers, and modifying guidelines to help nursing home staff assess for appropriate reasons for resident transfer to the ER. For example, all residents should have an updated advanced directive and a care plan assessable and on file to include whether the patient will need emergency services or other hospitalizations and what level of care the patient will require. For example, it may be inappropriate for a hospice or palliative end-of-life care resident to be transferred to the ER. Due to a decline in condition, instead, should be placed on comfort measures and hospice services for pain management and no further hospitalization or interventions. This way, they can manage their care at the nursing home rather than in the ER. the patient will need emergency services or additional hospitalizations.