Bed Meetings
The bed meeting redesign has expanded from the 0900 bed meeting to encompass site reports and handover reports that occur over a 24-hour period.
This work is intended to support the principles of flow and most of the work going on at the site to improve flow. It is an opportunity for team building, communication and education.
Daily Bed Flow: Team Roles and Responsiblities
Team Member | Role/Responsibility | When |
Program Director (PD) | - Work with program teams to develop a plan for patients waiting for their service. | Daily, prior to bed meeting |
- Provide leadership in the resolution of systems challenges and patient discharge barriers as escalated by Program and/or Access staff. | Daily, prior to 1400 | |
- Work with medical leads to (a) ensure awareness of bed situation and (b) resolve escalated issues related to medical practice. | As required | |
Unit Manager | - Be aware of projected unit activity, e.g., Cap Plan projected discharges, actual discharges demand for direct admits or transfers from other units, barriers that require escalation. | Daily, prior to bed meeting |
- Review and resolve all barriers to discharge, as escalated by CNL or Access staff. | Daily, prior to 1400 | |
- Escalate all barriers to Program Director that are not resolved by Manager. | Daily, prior to 1400 | |
- Attend daily bed meetings. | Weekdays, 0900 | |
Clinical Nurse Leader (CNL) | - Be aware of projected unit activity, e.g., Cap Plan projected discharges, actual discharges, demand for direct admits or transfers from other units, barriers that require escalation. | Daily, prior to bed meeting |
- Attend daily bed meetings, provide information, re: unit activities, collaborate with Access Coordinator to problem-solve overall site patient placement and flow issues. | Weekdays, 0900 | |
- Identify and resolve all barriers to discharge. | Daily, before noon | |
- Escalate all barriers that are not resolvable by the Clinical Nurse Leader (CNL) to Unit Manager | Daily, before noon. | |
Charge Nurse | - Be aware of projected unit activity, e.g., Cap Plan projected discharges, actual discharges, demand for direct admits or transfers from other units, barriers that require escalation. | Daily, prior to bed meeting |
- Attend daily bed meetings, provide information, re: unit activities, collaborate with Access Coordinator to problem-solve overall site patient placement and flow issues. | Weekdays, 0900 | |
Medical Leader | - Work with Program Director and Medical Team to develop a plan for patients waiting for their service and to resolve escalated flow issues. | Daily, as required |
Access Director | ||
Access Manager | Attend daily bed meetings | Weekdays, 0900 |
- Identify any issues for follow up as per group discussion or escalation from Access or Program staff. | Daily, as required | |
Access Coordinator | - Facilitate daily bed meetings. | Weekdays, 0900 |
- Project and manage populating of white board. | ||
- Provide information to group, re: overall site status/demand. | ||
- Facilitate and provide direction for patient placement, based on system priorities. | ||
Clinical Coordinator | - Facilitate daily bed meetings | Sat/Sun/holidays, 0900 |
- Project and manage populating of white board. | ||
- Provide information to group, re: overall site status/demand. | ||
- Facilitate and provide direction for patient placement based on system priorities. |
Last updated Tue, Dec 8, 2020