The emergency room is structured to provide care for a wide spectrum of health problems from minor to major life-threatening illnesses and trauma. The majority of people come to the emergency room for serious health conditions and others use the emergency room as their primary source of medical care. People often choose to visit the ER rather than their own primary care physicians to avoid expensive co-pays. No matter the aliment the ER must be equipped to handle the influx of patients desiring treatment. Triage is often where prioritization of care is determined.
Preparation
Emergency rooms locally and nationwide are inundated with patients. Due to extended wait times, patients often suffer permanent damage or even die awaiting treatment. More often, others leave without being seen by a healthcare provider. The current problem of extended wait times prevents ER 's from delivering quality patient care in a time efficient manner. Wait times and overcrowding often results in negative and/or poor patient outcomes. It is this nurse 's belief that evaluation of triage tools and implementation of the most effective tool could serve to decrease patient wait times and reduce negative patient outcomes. Triage is often the first point of contact between the nurse and the patient. The triage assessment conducted by the nurse often determines the level of care the patient will receive. The triage assessment tool must be accurate in determining prioritization of care as well as
The main key issues in case #5 is that the MMG system had not achieved its overall financial performance goals; therefore they experienced a big loss secondly the transition of new leadership became an issue. The difficulties of implementing the MBS business model in the Hospitals and Clinics division also became a very important issue. Having to come up with a strategy to improve the financial side and being able to focus on customers and relationships was not an easy task for them. Hospitals had a different approach of helping customers in
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
The overall results are presented as a qualitative analysis and it allowed the researchers the opportunity to produce new inputs.
This study will include nurses that are currently working in emergency department with at least six months of experience with varying ages and levels of education. The emergency nurses would be required to complete a formal training on understanding the Emergency Severity Index (ESI) algorithm and the complexities in accurately assigning a triage level. The level of competence of the nurses will be increased if they participate in the online educational opportunities. In addition to the formal course, an online acuity level triage designation course will also be implemented. The ED leadership team will be instrumental in encouraging staff to participate so they are adequately prepared to function as a triage
Triage is usually the first step of the emergency room and helps determine severity of each patient. Once through triage, the patient
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 modern day emergency room is a department that is constantly busy. In the hustle of caring for patients, there are some details of the patient’s care that can be overlooked in a standard phone report to the accepting nurse. With this in mind, a change is needed so that there is an optimum patient outcome for each and every one of the people that walk through the doors of the emergency room and get admitted.
Triage may also be used for patients arriving at the emergency department, or telephoning medical advice systems, among others.In recent years, it has become common to use the term
Emergency room over utilization is one of the leading causes of today’s ever increasing healthcare costs. The majority of the patients seen in emergency rooms across the nation are Medicaid recipients, for non-emergent reasons. The federal government initiated Medicaid Managed Care programs to offer better healthcare delivery, adequately compensate providers and reduce healthcare costs. Has Medicaid Managed Care addressed the issues and solved the problem? The answer is ‘Yes’ and ‘No’.
(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.
Several existing problems precipitated the creation of the triage system implemented by Kathryn Angell in an effort to deliver improved medical care. The main problem was a lack of coordination in service delivery. This lack of coordination caused excessive wait times on the order of anywhere from 23 to 40 minutes to see a nurse, 40 to 50 minutes to see a doctor, and as long as 55 minutes to get a prescription filled. The practice of all nurses being involved initially in seeing all patients caused duplication of efforts, including repeating questions and examinations, and resulted in procedural bottlenecks. Additionally, there were inconsistent levels of service and extreme variation in treatment because of the different experience
An emergency room nurse may assist in moving patients, taking blood labs and must use care and compassion while treating or informing patients of their condition. They may help physicians during exams and treatments, and monitor and record patients conditions, evaluate patients response to treatment and notify the doctor when appropriate. The information collected will be used by the emergency room nurse to identify factors related to discharge and advise the patient and family on how to continue their proper health care after leaving the hospital. Upon discharge the ER nurse will provide referrals to other health care individuals for follow up treatment to ensure continued care.
An emergency room physician is a health practitioner who works in confined emergency rooms and treats critically ill individuals. These experts have exceptional life supporting skills. Therefore, they act as lifesavers in numerous health centers. They handle life-threatening situations which the regular doctors find it difficult to control. The patients taken to the emergency rooms require extensive diagnosis and treatment because they have terrible health conditions. After the arrival of the patients to the hospital, the emergency room physicians take care of the critically ill victims instantly.
In an emergency room setting, triage, treatment and patient education can be difficult depending on the patient’s medical status or mental status. Nurses are also met with a variety of intellectual levels. Each patient is different, and each patient decides if they will follow the treatment plan or not. On top of the patient’s status, intellectual level, compliancy to treatment, nurses take into consideration the patient’s socio-economic status. All of these are important in treatment being successful.
Flashing red and blue lights accompanied by an alarming siren in the distance is signaled when the double doors of the emergency room burst open. Pushed by several nurses, doctors, and other medical staff, a lone hospital stretcher with a bloody, wounded patient flies through the medical center towards the doors to the operating room. This image is what generally comes to mind when you think about an emergency room. Many people believe that the hospital’s emergency room is a dark and scary place. While this is true, the common misconception is that the emergency room is a place clear of humor, when in reality humor is present, even necessary, for many reasons. Many television shows, like the show ER, are based in the setting of the