SHM Converge Scientific Abstract ePoster Gallery-Implementation of a Nurse Navigator and Growth of a Bedside Procedure Service

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This study evaluated whether adding a dedicated bedside nurse navigator improved the efficiency and morale of a hospital-based bedside procedure service (BPS). The service performed common inpatient procedures such as central venous access, dialysis catheter placement, paracentesis, thoracentesis, arthrocentesis, and lumbar puncture.<br /><br />The problem was that bedside procedures often require nursing support for consent, medications, time-outs, and lab coordination. As procedure volume increases, bedside nurses are pulled away from their regular patient care duties, which can delay procedures and discharge.<br /><br />Researchers compared a pre-intervention period (1/1/2024–5/30/2024) with an intervention period (6/18/2024–1/7/2025), during which a dedicated RN was assigned to assist the procedure team. The BPS was staffed by one attending physician. The nurse was present on 81% of intervention days.<br /><br />Results showed improved operational performance after the RN navigator was introduced:<br />- Average rollovers decreased from 4.0 to 2.8 per day<br />- Average new consults stayed similar (9.2 vs 9.0 per day)<br />- Average completed consults increased from 8.3 to 8.8 per day<br />- Procedure completion rate improved from 91% to 98%<br /><br />Provider morale also improved, with survey responses suggesting less stress, better quality of life, and stronger intent to continue working on the service.<br /><br />The authors concluded that a dedicated bedside RN significantly improved BPS efficiency, productivity, and provider satisfaction without compromising patient safety. They also suggested that faster procedure completion may reduce hospital length of stay and create substantial cost savings.

Asset Subtitle

Ankur Segon

Meta Tag

Author List Ankur Segon, Dina Perez-Graham, James C. Saca, Juan C. Flores, Lara Voigt

Category Research

Concept Bedside Procedure Services

Concept Nurse Navigator

Concept Registered Nurse

Concept Procedure Completion

Concept Efficiency

Distinguished Non-Finalist

Presenter Organization The University of Texas Health Science Center at San Antonio Joe R. & Teresa Lozano Long School of Medicine

Presenting Author Ankur Segon

Track Outcomes Research

Keywords

bedside procedure service

dedicated bedside nurse navigator

hospital efficiency

provider morale

procedure completion rate

inpatient procedures

central venous access

thoracentesis

paracentesis

length of stay

Bedside Procedure Services

Nurse Navigator

Registered Nurse

Procedure Completion

Efficiency