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Survey on the Use of Observers
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In keeping with its current focus on issues related to capacity and access for ABI rehab, the Network is conducting a review of patients waiting for inpatient regular stream ABI rehab who can not be transferred due to use of an observer/sitter. The purpose of this review was to determine the potential benefits of a pilot project that would examine the inter-organizational financial and flow impacts of expedited transfers of these patients to rehab through time-limited financial support from acute care for the sitter/observer.
To achieve this, the Network has asked that the trauma and neurosurgery units at our member organizations track patient specific data related to the use of observers over a four week period. In addition, respondents were asked questions about their organizations current practices related to the use of observers/sitters.
A first phase of surveys have been received and reviewed, however, acute care is continuing to collect data to ensure that we have a sufficient sample to inform the next phases of the initiative.
The findings relating to current organizational practices and protocols for ordering, assessing, and weaning observers/sitters point to some potential opportunities for standardizing and enhancing practices. For example, only one of three organizations responding reported that they provide specific training to observers about the unique needs of ABI. Further none of the organizations have been able to secure a consistent roster of observers that would support the development of expertise.
It is anticipated that this work will be complete later this spring and the results will be reviewed with targeted stakeholders to determine next steps.
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