ER triage over phone - page 2
I was wondering, how many hospitals allow ER nurses to triage over the phone. I was having a problem the other day, and I called the ER to see if they thought it was serious to be seen immediately,... Read More
Oct 28, '05We always said something like, "We would be happy to see you if you come in, but we can't advise you as to whether or not you should do so."
This is just the type of situation that will get a nurse burned. ("But the nurse said she didn't think I needed to come to the ED...")
Oct 28, '05Quote from PamUKthis would be a really awesome resource to have in the us...but we tend to be a little too sue happy i think...As you can tell, I live in the UK & we have a national system called NHS Direct. It is a telephone help-line which anyone can call for medical advice. Manned by Registerd Nurses, they have strict protocols to adhere too and I believe that the computer software prompts them to probe a bit deeper & ask pertinent questions. The range of calls they get is enormous, from heart attack to child-birth to the common cold.
I dont think there have been any serious errors (it would have been in the national papers otherwise). Doctors were generally aginast it at first, because it was manned by nurses and they must have thought we are a bunch of eejits! But I think that they realise the benefits now
I do understand the liability aspect, and the fact that patients might leave out symptoms, but that could be overcome by experienced, qualified nurses who specialize in triage and know what questions to ask...taking into account that if something sounds like there should be more to the story, have them come in just in case.
but this hospital would not even let me tell them my signs and symptoms...all they said was to come in. I ended up waiting to see my PCP because of cost, luckily he was open and an appt was available that saturday, and now they are sending me to a GI doctor for possible petic ulcers.
Oct 29, '05Anyone with a method idea for registration of er patients in triage area. Triage pt first or register first. At our hospital the pt are greeted by registration clerks not medical personnel, they ask the triage nurse case by case if the pt canbe register first or triaged first? How do other er work?
Oct 29, '05Triaged first, then registered. Registration does not have the skills to make acuity assessments.