San Antonio, Texas The CHRISTUS Children’s Main Emergency Department successfully implemented two key initiatives to improve pediatric patient care through enhanced sepsis recognition and streamlined nurse-initiated sepsis alerts within the electronic health record. These efforts resulted in eight consecutive quarters of meeting

Belleville, New Jersey When the 2024 first-quarter sepsis three-hour bundle compliance fell to 75.2 percent at the Clara Maass Medical Center ED, shared governance nurse leaders designed the Sepsis Scribe Program. Specially trained scribes and front-line nurse sepsis champions provide real-time bundle

Neptune, New Jersey Jersey Shore University Medical Center is located on the famous Jersey Shore in New Jersey, a popular summer vacation town that sees seasonal volume increases. The department implemented the use of a “pivot” nurse in order to have rapid

Escondido, California At Palomar UC San Diego Health Escondido, a primary initiative in the emergency department has been the creation of a dedicated Pediatric Critical Care Room to improve the care of critically ill and injured children. Recognizing pediatric emergencies occur infrequently

St. Paul, Minnesota At Regions Hospital, emergency department nurses partner with community organizations to address social determinants of health and improve outcomes beyond the hospital walls. Through a bedside violence-intervention program, survivors of gun violence are connected with trained community responders who

Solvang, California Shared governance and collaborative decision-making enabled emergency department staff at this 8-bed critical access hospital to improve care for acute stroke patients by identifying and addressing unnecessary transfers for MRI imaging. Through interdisciplinary collaboration, staff proposed extending local MRI hours

Neptune, New Jersey To manage extended emergency department stays for admitted patients, the Jersey Shore University Medical Center Pediatric ED uses proactive bed management and strategies such as the Pediatric Care Bridge Program. This program transitions care of admitted children in the

West Columbia, South Carolina To improve patient flow and enhance the experience of boarded patients, the Lexington Medical Center Emergency Department created an 18-bed admission unit staffed by the inpatient float pool. Admitted patients transition to the unit where nurses complete approximately

Palo Alto, California Stretcherside nurses at the Marc and Laura Andreessen Pediatric Emergency Department at Stanford Health Care partnered with leadership to redesign pediatric staffing to create a pediatric- specific assignment model that recognizes the unique developmental and clinical needs of children

Washington, D.C. Emergency nurses in the MedStar Washington Hospital Center Trauma and Burn Emergency Resuscitation Department advocate for victims of violence by identifying care gaps and building external partnerships. Key collaborations include the Community Violence Intervention Program, which involves bedside advocacy and