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Change the Work Environment:
Institute a Centralized Bed Authority
The centralized bed authority is responsible for all admissions and transfers. Key responsibilities of the centralized bed authority include convene AM bed huddles; place all admitted and transfer patients in beds; visit units to identify available beds with staff assigned to them and assess staff capacity to safely take additional admissions; communicate with units about placements and anticipated needs; and serve as a conduit for all physicians admitting patients.
Tips
  • Assign a person to act as the centralized bed authority for each shift in smaller hospitals (fewer than 200 beds).
  • Assign a location or group of individuals to act as the centralized bed authority in larger hospitals (more than 200 beds).