tweety55

tweety55 specializes in ED,Cardiac care.

Latest Activity

1. Paramedics in the ER

   tweety55 replied to errneducator's topic in Emergency

   In our 25 bed ED, we use paramedics, at least one per shift. They work along side and are responsible for 4 pts. They do it all, IV's, Blood, intubation, EJ's, splints, casts, and all other things just as we do. The only thing, the charge nurse ha...

2. Press Gainey AARRGGHH

   tweety55 replied to susi_q's topic in Emergency

   In our facility, our budget and scheduling is all tied to the Press Gainey's. We have a busy 35,000 visits per year rural ED and some of the expectations that pts have are completely over the top. How do I make sure that the guy that called and ask...

3. Press Gainey AARRGGHH

   tweety55 replied to susi_q's topic in Emergency

   Believe it or not, our former director did try the "secret shopper" bit. But her trick was to call on the phone. Our policies do not allow for ANY telephone advice. She would have someone call to make sure that we were doing exactly that. Everyti...

4. Press Gainey AARRGGHH

   tweety55 replied to susi_q's topic in Emergency

   At a recent staff meeting, we were asked what ideas we had to make it up to the patients when they had a complaint. TPTB suggested that we give them a 10 dollar gas gift card. How many of our regulars are now going to really start to complain------...

5. Flow of your Triage/MSE area

   tweety55 replied to TaraER-RN's topic in Emergency

   We see 100-110 pts per day in our 25 bed ED. We started using ESI about one year ago. It has helped with more accurate triage, but that is about all. Two years ago, we had one triage nurse with a triage room right in the admission/registration area...

6. Press Gainey AARRGGHH

   tweety55 replied to susi_q's topic in Emergency

   Not only are we also being scripted and being sent to class, we are now being taught on how to greet docs who come into our ED to do procedures. We are to greet them, make them as comfortable as possible and be at their beck and call. Harken back t...

7. Triage

   tweety55 replied to tweety55's topic in Emergency

   Our process now is that as soon as they hit the door, registration clerks are on our radios to let us know that there is a pt. The triage nurse, who also is a float nurse, is expected to stop what they are doing, go directly to the front, get the pt...

8. Triage

   tweety55 replied to tweety55's topic in Emergency

   One of the problems that we have seen in multiple MVC's plus routine ambulance calls all comming in at once and then the triage/float nurse is filling all the beds at the same time. We see 30,000+ visits. We are only a level 3, but we see many MVC'...

9. Triage

   tweety55 posted a topic in Emergency

   I am a "Shift Manager" on the weekends in a 30 bed ED. Our process flow is to bring all patients back to the ED if we have open beds with no triage done in our triage area. The only time we are to use the triage area is when we run out of beds. Any...