Hi everyone, looking for some ideas to move people smoothly from the waiting room to their ER assignments more smoothly.
Is anyone pre-treating their patients in the waiting room? Ordering tests, labs, and even iv fluids before the patient gets inside? If so, how do you do it? Does it work well?
Our new management is asking for ideas and some of us were kicking this around. It would be nice if we could improve room times.
Thanks for your help,
Sep 23, '07
What you need to do is start an ER Comittee or a Special Task Force to conduct research in areas of concern when implementing the idea of ER triage at your hospital.
Engage all staff for input and provide the comittees recommendations to the Medical Director for approval. This has way more clout than the idea of simply seeking the medical directors "nod of approval."
When the ER committees or special task force recommendations are typically rejected (usually the first time around) then the Medical Director is accountable to provide the comittee with a written and detailed response outlining the specifics surrounding the rejection.
Revise the original report and submit it with certain revisions made which addresses and satifies any list of "valid" objections. Be sure the report outline reasons "why" the comittee doesn't accept certain rejects in bullet format. Outline at least 10 valid reasons in opposition for each rejection response indicated in the Medical Director's written response.
Basically, the Medical Director can only reject the ER commitee's report so many times before he will either. A) Run out of any valid reasons to reject the report or, B) Have no choice but to agree to the outlined recommendations.
"3. You have to know your patient population. One location has a high degree of walk off after they had pre-treated N/V pt's with IV, & Zofran."
Make them pay a refundable "user fee" when they check in. This commits them to stay in the ER or they risk losing thier cold hard cash. $5 - 20 bucks or something. They get it back when they are discharged.
"9. Wait 6 more months and my thesis will be done. :spin::spin:"
OK. Sounds good and I wish you my best of luck!
Last edit by Patient_Care_Asst on Sep 24, '07