Reviving the Rush Discharge Suite

Sharon Schoenemann, MSN, APN, ANP-BC, Stephanie Yohannan, DNP, MBA, RN, NE-BC, CCRN, Aney Abraham, DNP, RN, NE-BC, Margie Swift, BSN, RN, Margie Swift BSN, RN, Tricia McGrath, BSN, RN, CMSRN, Juan Ortiz (transport), Shreya Gupta, MPH, Julie Merz (project manager)

The Rush Discharge Lounge was started in 2014 to provide a place for discharged patients to wait for their rides thus allowing the beds to open sooner for patients being admitted. This increases patient satisfaction and decreases the time patients need to wait in the Emergency Department and OR/PACU.

Although the Discharge Lounge remained open, the volume of patients who utilized the space was low. In 2016, a total of 107 patients used the Discharge Lounge and in 2017, the total was 73 patients. A multi-disciplinary group met in 2018 to review hospital throughput metrics and it was decided to rebrand the Discharge Lounge and give this intervention another chance to make an impact.

In April 2018, the Discharge Lounge became the Discharge Suite. The criteria for use of the suite was broadened and a clinical nurse was present to manage any patient needs that might arise. The nurse identified patients with discharge orders on the acute care units and began calling the floor nurses to pull patients to the suite. Additionally, transport services dedicated a full-time employee to serve as the primary transporter.

All of these efforts were fruitful. A total of 426 patients used the Discharge Suite in 2018.

Knowing more patients could use the suite and further increase hospital throughput, the Discharge Suite developed standard work for the floor nurses and the suite nurses. An escalation plan was established.

The Discharge Suite nurses created relationships with team members in other departments, such as the outpatient pharmacy, to facilitate patient transitions in the suite. Again, the payoff was great. There was a 144 percent increase in utilization of the Discharge Suite from 2018 with a patient volume of 426 to 2019 with patient volume of 1,040 patients.

Discharge suit graph
Development of a Vascular Access Team