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Published byAlijah Hosmer Modified over 9 years ago
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EMERGENCY ROOM OF THE FUTURE Group 3 Chung-Lun Kua, Brandon Thompson, Sue Bhat September 23, 2008 Hallway Beds Ambulance Diversion Records Management
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Hallway Beds Observations 4 patients in the hallway 12 total hallway bed stations Typically reserved for low acuity patients Beds filled by order of arrival Lack of electrical outlets Medical carts not linked to nursing station Patients have to be moved out of rooms into hallway sometimes HS 8803: Emergency Room of the Future Group 3: Brandon, Chung, Sue
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Hallway Beds Issues Patient privacy Patient liaison receives higher complaints from hallway beds in front of nursing station Patients must be moved for sensitive screening Nurse privacy Noise level in the hallway Family crowds hallway – nowhere to sit HS 8803: Emergency Room of the Future Group 3: Brandon, Chung, Sue
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Ambulance Diversion Observations Emory uses eRESCUE Requests help from Hospital Attempt to reduce diversion Criteria is hospital specific EMS can still deliver patients EMS – patient chooses hospital regardless of diversion HS 8803: Emergency Room of the Future Group 3: Brandon, Chung, Sue
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Ambulance Diversion eRESCUE Criteria (need 2 or more triggers) All beds full & > 12-15 patients in waiting room Holding 2 or more patients for ICU Holding > 4-6 patients for bed assignment Level 2 acuity patients in waiting room Total ED volume > 45 Diversion Criteria eRESCUE insufficient to decompress ED saturation status HS 8803: Emergency Room of the Future Group 3: Brandon, Chung, Sue
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HS 8803: Emergency Room of the Future Group 3: Brandon, Chung, Sue
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Records Management Observations Emory uses Electronic Record System Able to access electronic medical records Patient status available to all nurses Can track lab status Data entered by: Admin, Triage, ER nurse, MD EMS provides a paper registration form Meds can be ordered electronically HS 8803: Emergency Room of the Future Group 3: Brandon, Chung, Sue
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Records Management Issues Electronic Record System Unable to pull electronic records from other hospitals EMS registration must be entered manually EMS provides a paper registration form Patients’ registration papers must be entered manually (why not let patients enter their own data into the computer?) HS 8803: Emergency Room of the Future Group 3: Brandon, Chung, Sue
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Observation References Emory Crawford Long Emergency Department Valorie Sweigart, RN, ER Nurse Director Donna McCloud, RN, ER Charge Nurse Candice Dickson, ER Clerk Marjorie Bolton, ER Patient Liaison
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