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THE IMPLEMENTATION OF ACUITYADAPTABLE ROOMS IN THE INPATIENT ONCOLOGY SETTING

Oncology nursing forum, 2023-03, Vol.50 (2), p.C6-C7 [Peer Reviewed Journal]

Copyright Oncology Nursing Society Mar 2023 ;ISSN: 0190-535X ;EISSN: 1538-0688

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  • Title:
    THE IMPLEMENTATION OF ACUITYADAPTABLE ROOMS IN THE INPATIENT ONCOLOGY SETTING
  • Author: Bell, Allegra ; Lopez, Jackeline
  • Subjects: Cost control ; Oncology ; Patients
  • Is Part Of: Oncology nursing forum, 2023-03, Vol.50 (2), p.C6-C7
  • Description: Complex medical oncology patients admitted to the hospital are at higher risk for transfer to higher levels of care. At our medical academic institution, on average three patients are located on the intermediate-care/step down unit daily, as opposed to the 26-bed medical-surgical inpatient oncology unit due to complex clinical needs, which are outside of our current scope. Acuity-Adaptable Rooms (AARs) is a healthcare model aimed to provide care for patients from admission to discharge, with the flexibility of nursing staff to provide consistent care despite the changing patient needs. Literature suggests transitioning the inpatient oncology unit to the AAR model could decrease patient transfers and length of stay (LOS), resulting in cost savings that will justify the cost of investing in additional nurse education and training (Bonuel et al., 2013, p. 919). The purpose of this project is to evaluate the impact of an AAR model within the oncology setting. Nursing leadership, with the guidance of Critical Care and Intermediate Care educators, formulated a robust education plan aligned with ACCN guidelines to cross-train Oncology RNs to develop the competence needed to care intermediate-level of care patients. RN staff completed ECCO training and cardiac and pulmonary didactic courses to gain the knowledge and skills needed to manage CPAP/BiPAP, high-flow nasal cannula, low-dose cardiac drips, and other domains of monitoring that require 1-2 hour assessment and interventions. After training concludes in November 2022, six patient rooms on the medical-surgical oncology unit will be used to accommodate intermediate-level of care patients. Current average LOS is 6.9 days. AARs are associated with an average LOS decrease of 30% Bonuel et al., 2019). Once education and training has completed, a cost-analysis will be performed to determine total cost of RN training investment compared to potential cost savings resulting from a decreased LOS. Number of patient transfers will also be evaluated. Keeping patients on the oncology unit is also predicted to preserve patient safety, as well as improve patient and staff satisfaction. While there are financial impacts associated with the cross-training program, comparing the cost of training to improvements in clinical outcomes could contribute to a return on investment (Opperman, 2016). This will show the value of continued professional development for oncology nurses, and provide evidence for the further adaption of the AAR model within the inpatient oncology setting.
  • Publisher: Pittsburgh: Oncology Nursing Society
  • Language: English
  • Identifier: ISSN: 0190-535X
    EISSN: 1538-0688
  • Source: ProQuest Central
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