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SINI 2025: Virtual nursing joins the interdisciplinary team to aid in reduction of the bedside nurse workload with the goal of increasing patient satisfaction and increase the delivery of high-quality patient care

Fenton, Melinda
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2025-07-17
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Introduction: Virtual nursing joins the interdisciplinary team to aid in reduction of the bedside nurse workload with the goal of increasing patient satisfaction. The topic is relevant in the nursing profession to meet the continued demand for safe, quality patient care, and increasing patient experience satisfaction. How do we reduce the bedside nurse workload, provide the bedside nurse with efficient time to deliver safe, quality patient care, and promote improving patient care experience? Methods: Implementation of the virtual nurse program at University of Maryland Rehabilitation and Orthopaedic Institue. This program launch consists of five RNs available Monday through Friday onsite. The virtual nurse program has reduced the bedside nurse workload by implementing the virtual nurse to engage in patient care with completing admission database, discharge teaching, patient education opportunities, chart audits, and collaborating with the interdisciplinary team to address patient care needs. Results: Benefits from the virtual nurse program seen throughout the facility since the implementation of the program have included, real time educating staff for documentation compliance, tip sheet development for patient identified goal in the care plan, patient reports of enjoying the experience of the virtual nurse session, identifying orders needed for clarification or alleviating orders by contacting the provider if applicable for the individualized patient such as unapplicable orders for VTE, EPIC issues identified awareness such as Adult general education populating or not populating for units, and nutrition screening increased accurate nutritional referrals. Discussion: The virtual nurse has decreased the bedside workload and allowed the bedside nurse to deliver more patient care needs. One admission database and documentation completed by the virtual nurse totaled 47 minutes from start to finish. Communication across the interdisciplinary team and the units is moving towards clear, concise, and efficient. Conclusion: As the rapid growth of technology emerges into health care, the virtual nurse program emerging in the nursing practice will contribute to delivering safe, quality patient care, increase patient satisfaction scores, and improve patient care experience. Future goals include additional audits, virtual preceptor opportunities for educating nurses, providing nurses with a virtual resource and continuing to decrease bedside nurse workload.

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Presentation delivered at the University of Maryland School of Nursing, Summer Institute in Nursing Informatics (SINI) 2025: Thriving in the Age of AI: Mastering Emerging Tech in Healthcare.
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