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Change the Work Environment:
Convene an AM Bed Huddle
The AM bed huddle is a planning tool for improving patient flow. The team discusses and acts upon admissions, discharges, and transfers within the hospital. The team defines specific problem areas and takes actions to solve the problems. Unit directors from the following areas attend the huddle or send a representative: each surgical unit; each medical unit; emergency department (ED); operating room (OR); surgical center; post-anesthesia care unit; cardiac catheter and specials lab; and intensive care units (ICUs). In addition, the following individuals generally attend the huddle: vice president of nursing, medical chief of staff, and medical director of the ICU.
Tips
  • Give each unit representative approximately one minute to describe his or her unit by sharing the following information, where applicable: current census; anticipated discharges; anticipated admissions; anticipated transfers from within the hospital (including ED, OR, and other units within the hospital).
  • Limit the meeting to 10–15 minutes and stay focused on the purpose of the meeting.
  • Use the bed huddle as a strategizing meeting with a highly structured agenda for efficiency and effectiveness.
  • Enlist the chief of staff and ICU medical director to act as a buffer between the bed team and the physicians.
  • Use the bed huddle to make decisions regarding the cancellation of elective surgery and procedures depending on demand from the ED and other services.
  • Use a unit-assessment-tool-based color to efficiently communicate needed information to the bed coordinator and others in a minute or less.