Today our clinical group had the privilege of touring Mission hospital. This hospital had a little under 800 beds and served over 30 counties. Many smaller hospitals such as Swain frequently transport patients to Mission because it is a level two trauma center. Swain had about five to six nurses total in the hospital versus Mission which had five to six nurses in each pod. Swain county hospital was very basic and did not have many extra frills. Mission had all the updated technology and was testing new options for a brand-new building. Mission hospital also focused a lot of time and energy on logistics and trends in healthcare. I think this is great and can really help hospitals improve their standard of care. Swain county hospital did not speak much about looking into trends or statistics.
People come from all over the Smokey Mountains to Mission hospital for care. Patients get transported from multiple different hospitals through ambulance, car or helicopter. Mission is the only level two trauma center in the Smokey Mountain region so it sees most of the acute patients in the area.
I was impressed by the organization of Mission’s emergency department. They have a nurse and NP at the front desk to start the assessment process. The NP begins putting basic orders in for patients such as IV, xray, fluids, lab draws, etc. This is helpful to speed up the ER process because once the patient gets roomed the orders are ready for the nurse to begin and the doctor can put in more specific orders once the patient is assessed. Mission hospital also has a separate admitting room for patients in the ER who need watched but do not need a full room to their selves (such as sprained ankle or UTI). This frees up rooms for more acute patients and allows Mission to keep their ER wait time at a maximum of two hours but it normally under one hour. This is amazing for a hospital of this size, around 800 beds.
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