The Science Journal of the American Association for Respiratory Care

2005 OPEN FORUM Abstracts

IMPACT OF A THERAPY EVALUATOR PROGRAM ON MISSED TREATMENTS

Bettye Carnathan, RRT, Glenn Hurst, RRT, Susan Imus, RRT, Joseph Lynott, RRT, Edward Palmer, RRT, Washington Hospital Center, Washington, DC

Background: Increased demand for therapist time to satisfy patient assessment, documentation and medication safety issues, coupled with a shortage of available Respiratory Care Practitioners, has resulted in an increase in missed treatments in our department. We instituted a Therapy Evaluator Program (TEP), which concentrates on the above issues. Our goal is to decrease the number of missed treatments while satisfying assessment, documentation and safety requirements. Initiation of new therapy requires approximately 45 minutes of unscheduled therapists time per treatment.

Method: The responsibility of the Therapy Evaluator (TE) is to compete the initial comprehensive assessment, procure appropriate medication via pharmacy/Pyxis, administer initial treatment and interact with the medical team to resolve roadblocks to patient care. The TE utilizes Patient Driven Protocols in the evaluation of therapy.

Results: One month prior to implementing the TEP there were 12,906 treatments scheduled. Of these, we missed 1,323 (10.3%) treatments. One month post implementation of the TEP there were 8,044 treatments scheduled. Of these, we missed 304(3.8%) treatments. The reduction in the number of scheduled treatments was due to the TE discontinuing inappropriate therapy.

Conclusion: Implementation of a Therapy Evaluator Program can significantly reduce the number of missed treatments.

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