Jessica Alemar, RN, has seen it all. While working in Hartford Hospital’s ED, she has treated patients with broken bones, trauma, heart attacks and strokes. Her quick instinct and extensive knowledge help save lives every day.
“ED nursing has an intensity that I love. It’s amazing to know that our quick actions can make such a difference in someone’s life,” Alemar said.
Working as an ED nurse at Hartford also means nurses can make true, meaningful change. Through “How Hartford Hospital Works” an operational model implemented last year at Hartford Hospital Alemar and her colleagues belong to a group that meets regularly to talk about what works well and what changes should be considered, while engaging every employee.Photo courtesy of Hartford Hospital
Sarah Bradbury, RN, left, and Jessica Alemar, RN, in the new triage area.
When H3W was first introduced to the ED, the team wanted to tackle the challenge of managing an increasing volume of patients (almost 20,000 additional patients in two years) while remaining committed to excellent care. ED nurses, residents, nurse practitioners and physicians convened and conducted a thorough workflow map. They also brought in other departments — inpatient nursing, radiology, bed management, housekeeping and facilities.
The team visited other hospitals to learn best practices, then organized subgroups, studied the literature and established benchmarks. The group found many opportunities for change, including a redesign of its triage area and front-end provider room expansion.
“An essential ingredient to the H3W process is leadership,” said Linda Berger Spivack, RN, MSN, vice president of patient care services. “The workgroup leader plays a crucial role in helping our culture evolve, and in making sure H3W is successful. Our leaders are our champions.”
FOR MORE INFORMATION, visit HartfordHospital.org/nursing.