No Call Report from Emergency Center to Inpatient
INTRODUCTION
The Field Experience course represents a significant milestone toward completion of your MSN degree.
This assessment will be the final task of the MSN Field Experience. For this assessment, you will create
an introduction and literature review, which will make up the first two chapters of your written
capstone document.
REQUIREMENTS
Your submission must be your original work. No more than a combined total of 30% of the submission
and no more than a 10% match to any one individual source can be directly quoted or closely
paraphrased from sources, even if cited correctly.
You must use the rubric to direct the creation of your submission because it provides detailed criteria
that will be used to evaluate your work. Each requirement below may be evaluated by more than one
rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
Brief synopsis to give information about the project- The project is about a change in
process for patient report from the Emergency Center (EC) to inpatient units in the hospital. The hospital
is Providence St Peter Hospital in Olympia, WA. The project will utilize a ‘no call report’. The hospital
utilizes EPIC as their EMR and there will be a SMART phrase added in the EC’s charting that must be
filled out when the patient is placed up for admission. The SMART phrase will have if they are
ambulatory (how many assist/bedbound/walker), orientation (confused/combative/alert and oriented),
Covid testing status. EPIC provides health HX, medication HX, EC results, and vital sign flowsheets. It will
be required that a new set of vital signs and a blood sugar if pt is diabetic be done prior to transport to
the inpatient floor. When the patient is placed up for admission by the EC physician, the patient
placement navigator will look to make sure that the SMART phrase has been done, if not they will send a
secure chat reminder to the primary RN. Once it is in the PP navigator will place the patient on the bed
board of the appropriate floor. They will inform the charge nurse on that floor who will assign the
patient to a room on their floor. If the room is still dirty this will place a STAT clean on the room. Once
the room shows READY, the EC can place request in for transport. This process allows for the patient to
move to the inpatient side quicker. It also keeps the EC RN from having to leave another pts room to call
report or to play phone tag with the accepting RN. It also will alert housekeeping to a STAT clean and the
room will be prioritized for cleaning. The project will exclude the pediatric unit and Cardiovascular ICU
(CVICU) and Neuro/trauma ICU (NTICU). These floors require a bedside report from EC RN to the unit
RN. Please reach out with any questions. I will be working on TASK 1 during this time and setting up the
project. Thank you!!!
Chapter 1: Introduction
A. Provide an introduction (suggested length of 4–6 pages) that explains the rationale for your project
by doing the following.
1. Explain the background of the problem.
2. Provide your problem statement.
3. Summarize the scope of the project by doing the following:
a. Describe the practice change, quality improvement, or innovation.
b. Provide a rationale for the practice change, quality improvement, or innovation.
Chapter 2: Literature Review
B. Provide a thorough and well-organized literature review on your topic by doing the following:
1. Review a minimum of 30 credible sources that were published within the last five years.
Note: In order to prove that you have reviewed 30 credible sources, you will need to provide a list, in
APA format, of the sources you reviewed for part B1.
2. Identify best practices for your topic based on the review of literature.
3. Provide an evidence summary of the literature relevant to the topic you have chosen.
C. Recommend a practice change, quality improvement, or innovation based on the findings of the
literature review and evidence summary from parts A and B.
D. When you use sources, include all in-text citations and references in APA format.
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