References:
References:
Accepting admissions into the observation unit from the emergency department created a situation where the patient health conditions varied considerably. Admissions included orthopedic, medical-surgical, gynecological, and…
When patients are rushed to the ER, doctors and staff are pressured to quickly diagnose and treat the problems and move onto the next patient. Unfortunately, the current process for treating patients in the ER has led to a 25% rate of misdiagnosis or delayed diagnosis incidents.…
Emergency room nurses firstly ask the patient what their chief complaint is upon arrival. The chief complaint labels the patient, and gives them a triage level based on the amount of resources needed to intervene. The chief complaint (or illness) is the nurse’s focus of his/her practice. The nurse also takes into consideration the need to educate the patient and his or her own readiness to learn. All of these factors help reach the goal of making the patient “feel” better and regain health. Below is a model of how nurses in the emergency room revolve directly around the patient.…
Usually an emergency room is designed for providing the critically ill and there is the possibility of contacting a bacteria or any other contagious. However,the idea is not to go there unless it's a real emergency.…
Rapid and accurate triage (counting and sorting) of patients is a critical step in the response process. Paramedics perform initial triage by attaching colored triage tags to patients with color assignment based on respective priority. The medics call their EMS officers and report the patient count so EMS can…
St. Vincent’s Medical Center, a 501 bed facility located in Jacksonville, Florida, provides general medical and surgical care to the North Florida Region. St. Vincent’s admits over 26,000 patients annually. The average occupancy rate is approximately 84% with the Emergency Department (ED) peeking at 100% for approximately 4-12 hours daily. The hospital is struggling with availability of bed space. This shortage of available beds creates a bottleneck in the ED on high census days. Bottlenecks are created in the ED when there is a shortage of inpatient beds to place admitted ED patients. Thus, patient flow, or throughput, is becoming more and more important.…
A study by the CDC showed that approximately 70 % of emergency department visits can be treated in a typical primary care or urgent care setting and another study by National Center for Policy Analysis demonstrated that only 13% of patients that sought treatment in the emergency department were clinically appropriate. Reasons for non-emergency visits to the ED range from access issues to primary care providers (wait times, no primary care provider assigned, or no insurance) to a lack of knowledge that they could have been treated at an urgent care or primary care setting.…
It seems that emergency room wait times are ridiculous and there is no need for it. My mom has been in and out of the hospital since last April and the most annoying thing in the world is having to wait 3 hours to see a doctor. This paper is going to focus on ways to improve emergency room wait times. With all the advancements in technology you would think that every hospital has an app to download but that’s not the case.…
We’ve all heard horror stories of the outrageous wait times in emergency rooms. According to a recent study done by Press & Ganey in 2007, the average time a patient spends in the ED is 4 hours, compared to 3.7 hours in 2006. What many patients don’t realize is they are seen in order of priority, which includes walk-ins. So for example, if you have a sprained ankle, you are considered a low…
1[FREE COMMUNITY HEALTH CLINIC] Healthcare Policy and Financing Western Governors University Funding and Implementing a Free Community Healthcare Clinic in Milwaukee, Wisconsin Rachel Trabelsi 2 [FREE COMMUNITY HEALTH CLINIC] A hospital emergency department is open twenty-‐four hours a day and is required by law to treat anyone having a medical emergency that includes a full evaluation of anyone for any reason that they come to the hospital to be treated for. A recent evaluation in Colorado looked at 10,000 Emergency room visits and found that 44% of those visits could have been treated in an MD office.…
Unfortunately Emergency Departments have little control over the amount and type of patients arriving in their hospitals. Many facilities are experiencing increased wait times and overflowing hallways with patients who have been admitted to the emergency department. These are increasingly troublesome issues that result from increased patient demand at a point in time when the number of emergency departments has declined and hospital inpatient capacity has decreased as well. This is why managing the flow of patients through their care is vital in preventing patient crowding, patient safety issues and quality of care.…
Working in the ER we also have plans in place to prepare for disaster and help the community, patients, and prospective patients. We go through a series of training, teaching, and renewals to ensure that we are using the utmost superior information and resrouces available to provide for…
A lot of times it varies day by day some days you will have one call and some days you will have fifteen. The adrenaline rush you get from the medical field is unreal within seconds you could have a dying person laying right in front of you and it is your job to save them. Anytime we ever get a call my adrenaline shoots straight through the…
You don’t what to have an all nighter on a hospital chair then don’t go to the emergency room because you will be there all night before you are call into a room. Myself as a patient I recommend and prefer the urgent care center versus the ER. Urgent care has taken care of me quickly with a low cost in visit versus the times that I’ve gone to the ER paid a high co payment and just end up walking out without the care because of the ridiculous wait times and the amount of time that they kept me in a room just to charge up my insurance for supposedly treating me which was me just laying there waiting to be treated. Think about it if an ambulance comes in with a patient who is severely hurt or critically ill than those patients will be taken care of before a minority patient and this has been my case the times that I’ve gone into the ER even when I was an employee of the hospital I would still be treated the same. Now I don’t even bother I just make an urgent care…
As far as North Baldwin Infirmary goes the data showed unfavorable and comparable data sets. However, all the information deemed comparable reflects positively in this instance. The relative median time patients waited in the emergency room prior to receiving medication to help cope with pain management was 82% for North Baldwin and 60% for Florida with the national average being 50%. The number of methicillin-resistant Staphylococcus aureus identified by a blood lab was less than 1.2% for Baldwin Infirmary nationally however in Florida this illness was found 69% of the time. Medical imaging for outpatient CT scans of the abdomen was accounted for 25 % of the time which would mean patients were receiving scans that were not actually needed.…