Page 110 - Hospital Authority Convention 2017

Parallel Sessions
HOSPITAL AUTHORITY CONVENTION 2017

PS1.3 Nursing Services at the Front Door of the Hospital 13:15 Room 221

Development on Enhancement of Emergency Nursing Service
Li SP
Accident and Emergency Department, United Christian Hospital, Hong Kong
Introduction
Longer lives with multiple chronic conditions, increasing complexity in healthcare delivery, higher public expectation and
shortage of medical staff have put significant burden to the Accident and Emergency Department (AED) service in Hong
Kong. It results in long waiting time for treatment, particularly in those with minor health problems. The enhancement of
emergency nursing service (ENS) has been implemented in the AED of Hospital Authority (HA) since 2012. This initiative aims
to alleviate the tremendous workloads of medical staff and reduce the waiting time for selected patients with minor injury
by empowering specialty-trained emergency nurses with a greater role in treating patients. Currently, there are seven AEDs
providing this fast-track, protocol-driven service.

Objective
This presentation reports the development of ENS among AED including: (1) the service model; (2) the utilisation; (3) the
impact on their AED waiting time; (4) patient satisfaction; and (5) audit results relating to safe practice and quality. Future
direction will also be discussed.
Tuesday, 16 May A retrospective review of this service utilisation among seven AEDs was conducted in 2015-16. Data were collected by the
Methodology

Coordinating Committee (A&E) Nursing Subcommittee using a standardised template. Different audit results for the target
period were also presented.

Results
A total of 9,581 cases were seen among seven AEDs in 2015-16. The mean waiting time of patients using ENS and usual
triage category four were 40-82 minutes and 79-227 minutes respectively. Median of waiting time shortened for the target
group patients from 19 to 118 minutes.

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