I have been reading alot of articles about how having an MD in triage increases the flow in the ER. The article states that most ERs overcrowd due to each step being dependent on the previous i.e. triage, registration, waiting room, rooming, MD eval, labs/xrays, MD re-eval, ect..... An alternative scenerio is this: Registration generates a "quick chart", The MD is present as the triage nurse gets the chief complaint and history and then gets the process started from triage with labs, Xray, or possibly even discharging pt from triage. According to the articles I have read patient flow is greatly improved, Door to seen by MD times are drasticly decreased, patient satisfaction improved, and JACHO is happy!
Anybody out there use anything similar to this? I would like feedback and any data you might have that would or would not support this.