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'Bed Wizards' Transform ED Throughput

Rebecca Hendren, for HealthLeaders Media, July 12, 2011
The bed wizard:
  • Moves discharges from ED rooms
  • Cleans and readies rooms for the next arrival
  • Moves next incoming patients out of triage and into their room
  • Updates tracking board and monitors delays
  • Handles patient room assignments
  • Is the contact for all bed control issues
  • Serves as a point person for RN, tech, and physician patient status updates
  • Directs and assists staff with prioritization
  • Alerts RNs of pending orders
  • Performs results follow through
  • Handles anything with a “time stamp”

“This is one of the most important jobs in this ER,” says Lane Burroughs, ER nurse manager. “[The wizard] has to be someone with very good organization skills and assessment skills.”

“It’s just phenomenal what it’s done for patient throughput” says Corle. “We have decreased the amount who leave without being seen. We are getting them back quicker. Economically, it’s been an improvement in getting more customers in to be seen.”

With the wizard, the ED also implemented a direct bed system where patients are brought back to open beds immediately after triage, rather than spending time in the waiting area before being called back. The wizard tracks open beds, makes sure just-vacated beds are cleaned quickly for the next patient, and pulls patients in from the waiting area as soon as a bed is ready.

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