ES Unit Radio Communication Report

A visit to the emergency department (ED) is usually associated with negative thoughts by most people. It creates preconceived images of overcrowded waiting rooms and routine long waits for treatment (Jarousse, 2011). From 1996 to 2006, ED visits increased annually from 90.3 million to 119.2 million (32% increase). During this same time period, the number of EDs has declined by 186 facilities creating the age old lower supply and greater demand concept (Crane & Noon, 2011). There are many contributing factors that have led to an increase in ED visits. A few of these key drivers include lack of primary care access, rising of the uninsured population, dwindling mental health services, and the growing elderly

(Mann, 2014, p.2) These strategies include: broadening access to primary care services; focus on individuals who frequently utilize the emergency department (super-utilizers); and targeting the needs of individuals with behavioral health problems. (Mann, 2014, pp 2-4) Many resources and processes have been implemented in order to help decrease inappropriate emergency department visits. This paper is going to demonstrate some resources and processes that are in place to help individuals obtain health care at the appropriate health care setting.

14 million Canadians visit Emergency Departments (ED) every year, and also reported to having the highest use of EDs (Ontario Hospital Association, 2006). ED overcrowding in Canada has become an epidemic. ED overcrowding has been defined as “a situation in which the demand for emergency services exceeds the ability of an (emergency) department to provide quality care within acceptable time frames” (Ontario Ministry of Health and Long Term Care, 2014). This has been an ongoing problem across Canada. Ontario has developed an initiative to reduce ED wait times by implementing a variety of strategies and collaborating with other institutions. This paper describes the Emergency Room National Ambulatory Intuitive (ERNI), an

The electronic medical record system (EMR) serves many purposes in an emergency for the patient, physicians, and hospitals involved in the diagnosis and care during an emergency.

they must send them to another hospitals ED. Ambulances can drive around for unnecessary amounts of time trying to find a hospital with room in the emergency department for their victim. This can be scary for the victim. They present a huge health risk for patients seeking urgent medical attention. Ambulance diversions wouldn’t be an issue if overcrowding did not exist. Schull (2003) believes that ambulance diversion is driven by the boarding of patients and is not otherwise related to issues of staffing within the ED itself. (p.467-476)

The emergency services need to be called, and given all the correct information, such as, if you are with the casualty now, how many people are involved, the patients age/gender, if they are conscious. Computer software then uses this information to determine the priority of the call which is then categorised into emergency or non emergency.

There are many components to a hospital or medical facility. All of them are necessary to have a properly functioning environment. The emergency department of a hospital is a fast paced world. You have to be constantly on your toes and prepared for whatever may come through the doors. There are many people that work in an emergency room to make it run smoothly. Techs, nurses, CNA’s, LVN’s, and doctors all work side by side to help those who are critically injured. Without all these people it would be complete chaos.

Any patient brought into the Emergency Department, is first signed in at ED receptionist desk and triaged by a triage nurse, prioritized and brought to patient room by a charged nurse either by wheelchair or stretcher or walking by the patient depending on patient’s illness. A nurse is assigned to the patient. Emergency Doctor comes in and if the patient illness is life threatening it is stabilized and the Doctor orders test such as blood work and x-ray if necessary to be conducted. Based on the test result the patient is either discharged or admitted. Certain times the emergency department is filled with a lot of patient that there is no place to sit and patients keep coming in and creating

At Bellaire (http://www.bellaireer.com/), we advise our clients to safely keep their records that they will use to claim their medical expenses. These documents include the receipts showing the patient’s name and the details of the health center that received the payment, the need for the prescription document from a certified medical practitioner and evidence that the expenses exceeded by 10%. Therefore, if you require any assistance about how you can claim the emergency room expenses, you can contact our customer care desk through our website (http://www.bellaireer.com/) and get maximum support from our dedicated staff

EM physicians will explain diagnosis and treatment, EM physician will provide patient with printed material of diagnosis and treatment options, EM physician will answer patient initial questions and allow patients time to review discharge orders and printed material. Before patient leaves the facility EM physician will complete a finally check-in with patient to clarify any further information or questions patient has.

NARAP studies on the emergency department as a platform to facilitate primary health care screenings follow this model. During their weekly shifts, RAs approach as many non-emergent patients and their visitors as possible to ask a detailed history on the prevention or screening issue under study. Working within Research Associate program at HUMC, I will be able to gain access to the epic database which provides the university center with electronic health information. I

One such department would be the Pediatric Emergency Department. When treating patients in this department the hospital must work efficiently to provide the best care as soon as possible. If the information is readily available then there would be a constant patient flow that would benefit the hospital. It is important to have information going back in forth from hospital to hospital in case there happens to be a complex case present. During the admittance of a patient into the emergency department there are many factors that require a well flowing administration. The patient is triaged for any critical issues and then the admitting physician administers the correct treatment to the patient. If the issue at hand is minor then the patient is relased to their home. If the issue happens to require a prolonged stay at the hospital then the use of the identification bracelet comes in handy. The ID bracelet has an array of numbers and letters that are used to identify the patient and allows the health care professional to administer the correct medication to the

How does the hospital keep a record of all of its patients? According to Stacy Adam, the medical records manager, Reading Hospital uses an Electronic Medical Record system called EPIC. It is made by EPIC Systems. To access records on the EPIC system, an employee has to be trained on the EPIC system and then they receive their user name and password. There are different access profiles and trainings, but anyone that is going to work there and needs access to the EPIC system needs to be trained first in order for a trainer to reveal the user name and password. (“Adam, S.”) To the left, is a sample of what it looks like when EPIC is in use. EPIC is a tool for many staff within the hospital from nurses, physicians, administrators, to support services. But, that is not all. According to Adam, some of the administrators use the information but may not have direct access to it, so they rely on others to get them the information that they need through reports and statistics. Some supports services in the hospital, such as Quality Improvement, Care Management, Risk Management, Chaplaincy, and the Business Office, all use the health information in some way. Insurance Companies use the health information to audit and pay for services rendered at the hospital. Attorneys and police also request information from them to conduct a legal investigation. Other health care facilities sometimes need health information to care for a

ED-based providers and case managers may have information which could be useful to ED providers at other EDs visited by the patient, such as security incidents, ED-based interventions that have been helpful for the patient, findings from lab or imaging tests, or social factors which seem to affect ED visits.

Emergency Department which primarily use the ASAP Emergency Department Information System. What this system basically is, is a system that has been put together to better help the patients at a much faster rate by allowing the staff to communicate more efficiently and reducing