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Question
At the monthly meeting for the staff of the emergency department in a mid-size hospital, the nurses state they have reached a high level of frustration trying to care for psychotic patients with medical conditions (e.g., pancreatitis, pneumonia, femur fracture) held in the ED for up to 24 hours pending availability of an appropriate hospital bed. The nurses state they are not educated in the care of mentally-ill patients and are pulled away from other emergency patients because of the time involved caring for these mentally and physically-ill patients. The nurse manager has appointed you to chair an ad hoc committee to formulate a plan to present to hospital administration as a potential solution to this problem.
1. Who should be on your committee? (Keep in mind, too many members may be confound and slow the progress.)
2. Discuss how you will accomplish this task.
3. Outline a plan you will present to administration. Assume your plan is implemented.
4. How will you evaluate your plan over the next six months?
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