Clinical Nurse Leader Practice Exam

What is the most effective way to address the low percentage of patient transfers from ICU by the hospital goal?

1. Tell the charge RN to discharge patients in the morning

2. Ask the manager to staff an extra nurse on day shift

3. Use process mapping to determine contributing factors to patient discharge

4. Don't worry about the number; it's okay to miss one goal

The correct answer is: Use process mapping to determine contributing factors to patient discharge

Using process mapping to determine contributing factors to patient discharge is the most effective approach to address the low percentage of patient transfers from the ICU, as it provides a systematic way to identify barriers and inefficiencies within the current discharge process. Process mapping allows healthcare professionals to visualize each step of the discharge workflow, enabling them to pinpoint specific issues that may delay transfers, such as communication breakdowns, delays in physician orders, or insufficient discharge planning. By analyzing the mapped process, the clinical team can collaboratively develop targeted interventions aimed at streamlining the discharge process and enhancing overall outcomes. This data-driven method promotes a culture of continuous quality improvement, as decisions are backed by evidence and observations derived from real-world clinical scenarios. In contrast, merely instructing the charge RN to discharge patients in the morning lacks a comprehensive understanding of the underlying issues and may not lead to sustainable changes. Staffing an extra nurse might temporarily alleviate some challenges but does not address systemic barriers. Dismissing the goal entirely fails to promote accountability and improvement within the staff and does not align with best practices in achieving high-quality patient care.