The Capital Project

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The Capital Purchase
Suzanne Hrubes RN, BSN

January 14, 2013

The Emergency Room

The Emergency Room at Good Samaritan Hospital Medical Center (GSHMC) is one of the busiest on Long Island. GSHMC maintains the prestigious status of being a Magnet designated hospital as well as a level two trauma center (Good Samaritan Hospital Medical Center [GSHMC], 2012). GSHMC has five hundred and thirty seven beds and is a not-for-profit hospital. The Emergency Room sees over one hundred thousand patients per year (GSHMC, 2012). The patient population is mainly from the South Shore of Long Island, NY. The services provided at GSHMC cover all aspects of patient care and medical disciplines including Pediatrics. Presently the pediatric population includes infants, children, adolescents, and young adults up to twenty one years of age. GSHMC has the only Pediatric Emergency Room in the Suffolk County area (GSHMC, 2012).

The Pediatric Trauma Room
The Pediatric Trauma Room is armed with state of the art life-saving equipment that is used daily in the treatment of emergent and critical patients. The pediatric population differs from the adult population primarily because treatments and medication dosages are based on the patient’s weight (Emergency Nurses Association [ENA], 2012). Recording incorrect weights for the pediatric population in the Emergency Room can cause harm and can potentially cause death or permanent damage beyond that of their original emergent ailment/ incident. Pediatric medication errors are considered the most common and also the most avoidable (ENA, 2012). Obtaining the pediatric patient’s correct weight is considered an integral and mandatory element of the nursing assessment (ENA, 2012). The ability to obtain that weight quickly and accurately is of the upmost importance in an emergent situation. Presently a length-based tool called the Broselow Pediatric Emergency Tape is utilized to estimate the pediatric patient’s weight in emergent situations (Frush, 2003). The use of the Broselow Pediatric Emergency Tape does not remove the requirement of an actual and accurate weight. Often an actual weight is not achieved until the patient is admitted onto the Pediatric unit. Unfortunately, the estimated weight in the pediatric population often leads to improper dosing and should only be utilized in extreme emergencies (Emergency Nurses Association, 2012).

Procedural Stretcher with IntelliDrive® Powered Transport
The Procedural Stretcher with IntelliDrive® Powered Transport has a purchase price of eleven thousand dollars (Krulikowski, 2012). The stretcher is fully powered, and equipped with: IV poles, supply storage, dual scale (Pounds/Kilograms), simple one touch auto start and stop, ergonomic handles, and a specialized halo feature to support airway lines and IV tubing for the transport of intubated patients. The Procedural Stretcher with IntelliDrive® Powered Transport will enable pediatric trauma patients to be weighed immediately upon arrival into the trauma room. The stretcher will also support and secure all of the essential life-saving equipment for transport to the Pediatric Intensive Care Unit (PICU). The journey to the PICU is one quarter mile away from the Trauma Room. The hallways are winding, narrow and parts of the trip are actually uphill making the transportation of a critically ill patient even more challenging. The Procedural Stretcher with IntelliDrive® Powered Transport offers a smooth and safe alternative to pushing a heavy stretcher.

Safe Patient Handling Saves Money
Back injuries and Muscular Skeletal Disorders (MSD’s) are extremely prevalent in the health care field. This is especially true for nurses and health care staff who must frequently and physically move patients (Menzel & Nelson, 2010). Back Injuries and MSD’s can directly be related to: a decreased workforce due to injuries which can then cause further short-staffing. In fact the US pays out seven billion dollars...
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