CClinicalTrials.gg
CompletedNCT01586832Updated Oct 14, 2016

Stocking of a Busy Emergency Department

An observational study in Emergencies, sponsored by Lehigh Valley Hospital. Completed at 1 site in United States. Per ClinicalTrials.gov, last updated 2016-10-14.

Sponsored by Lehigh Valley Hospital · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
565
Sex
All
01

Study summary

Stocking of essential supplies in an emergency department (ED) is crucial in order to efficiently and effectively take care of patients. When equipment and supplies are not available to patient care providers, an imbalance in the delivery of care is created. The amount of time nurses spend away from the bedside obtaining supplies has only been superficially studied; however, one study proposed that the majority of nurses spend 5 to 20 percent or more of their time during a shift. This results in 30 minutes to two-and-a-half hours of a twelve hour shift being lost to retrieving supplies that are not available.

Cabinets and drawers have recently been eliminated in the rooms and stock is kept in "supply towers" that contain all the necessary supplies to adequately take care of patients with the exception of medications, or stationary supplies. Towers are restocked every morning by a stocking technician by taking the towers to the stock room, resupplying them based on previously established PAR levels, and utilizing a standard chart that describes exactly what supply, and how many to stock within a specified area of the cart.

During their shift, the stocking technician must also respond to pages concerning low stock levels.

Hypothesis:

Nurses spend a significant amount of time away from the patient bedside during their shift looking for supplies.

Read the detailed description

Objectives:

  • Determine the amount of time nurses spend outside of a patient room obtaining supplies to care for the patient.
  • Determine what supplies are obtained when the room is left.
  • Determine how many times per shift the nurse leaves to obtain the same item.
  • Determine if utilizing a "supply tower" located in patient rooms decreases the amount of time nurses spend obtaining supplies outside of a patient room to care for patients.
  • Determine if implementation of a full time stocking technician decreases the amount of time that nurses spend outside a patient's room obtaining stock.
  • Conduct spot checks on carts to determine if PAR levels are over, under, or exactly as established.
02

Conditions studied

  • Emergencies

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Keywords

  • Hospital Supplies
  • Stocking of Supplies
03

In context

Emergencies

1,692 studies on the registry are indexed under Emergencies; 333 are open to participants now.

This study's enrollment of 565 is above the median of 353 across 714 observational studies indexed under Emergencies.

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Lead sponsor

Lehigh Valley Hospital is the lead sponsor of 17 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Participants will include the nurses in the emergency department who will be observed during their shift.

Inclusion criteria

  • Nurse is an employee of LVHHN, and is working at the CC site.
  • Nurse is working a full shift (7a-7p, 7p-7a, 7a-3p, 3p-11p, 11p-7a).
  • The nurse being observed is working in Pod 1, Pod 2, Pod 3, or Pod 4 at the CC site.
  • The supply needed is related to a procedural task for patient care.

Exclusion criteria

Exclusion Criteria:

  • The nurse is working at LVH-M or LVH-17.
  • The nurse being observed is working in the express care area or trauma bay.
  • The supply being obtained is a supply that is not maintained in the cart (Appendix 2).
  • The nurse is scheduled for a shift less than 8 hours.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
565 participants (actual)

Groups and cohorts

  • ED Nurses

    Nurses in the emergency department (ED) providing patient care using supplies found in the "stocking towers"

06

What researchers measure

Primary outcomes

  1. time nurses spend away from patients bedside

    The average time nurses spend away from the bedside searching for supplies for patient care during an ED stay (an expected average of 2.5 hours)

    Time frame: Outcome will be assessed for one year as the average time nurses spend away from the bedside searching for supplies for patient care during an ED stay (an expected average of 2.5 hours)

Secondary outcomes

  1. Supplies searched for

    This is the type of supply that the nurse was searching for that was not available at the bedside.

    Time frame: Outcome will be assessed for one year as the type of supply that the nurses are searching for that was not available at the bedside searching for supplies for patient care during an ED stay (an expected average of 2.5 hours)

07

Study locations

1 site
  • Lehigh Valley Health Network
    Allentown, Pennsylvania 18103, United States
08

References and documents

Individual participant data

Plan to share: No — However, the overall study results were published in JONA, vol 44, issue 11, November, 2014.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 14, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01586832
Lead sponsor
Lehigh Valley Hospital
Responsible party
Marna Rayl Greenberg (Director of Emergency Medicine Research, Lehigh Valley Hospital) — Principal investigator
First posted
Apr 27, 2012
Start date
Jan 2008
Primary completion
Dec 2013
Completion
Dec 2013
Last update
Oct 14, 2016

Study contacts

David Richardson, MD
principal investigator · Lehigh Valley Health Network

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2016. You cannot join it, but the record below documents what was studied.

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