Latest Comments by CTURNEY

CTURNEY 1,101 Views

Joined: Jun 23, '99; Posts: 10 (10% Liked) ; Likes: 1

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    Penelope_Pitstop likes this.

    My husband won't get a vasectomy, he doesn't trust the urologist (Dr. Hardaway)
    Two local chiropractors who have recently partnered up are Dr. Hurt and Dr. Hollar.

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    I would love to have any info you can share. I am looking at a generic evacuation plan, including who to evacuate first and where to go, ex, local community college campus, other hospitals, clinics, etc. thanks cmt

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    we do indeed have a plan, I am looking to update it. Our plan does not specify who is evacuated first, it specifies routes and exits, etc.

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    I need some input for creating an evacuation plan for our hospital? Is anyone out there willing to share their plan? thanks

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    I am looking for information on evacuation planning for hospitals. Does anyone have a plan they could share? thanks cmt

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    We use chart audit to review. I am interested in your statement about changing the triage category due to wait time. Our policy is to document a recheck on all patients every two hours or sooner if condition warrants it. We only change the triage category if the patient's condition worsens, although sometimes it is tempting to change the category if the person waiting is a "problem". I recently attended a lecture discussing the 5 tier system and upgrading the categories r/t the number of resources a patient would need. for example, labs, x-rays, procedures, medical social work referrals, etc. Our triage nurse is also triaging patients to our Express Care. Does your facility have an urgent care on campus? Does the same triage nurse care for both? thanks for any feedback. cmt

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    Originally posted by 45margie:
    I work in a busy Ed where we see 30,000-35,00 patients/year . We currently use a 5 tier triage system, which gives more flexibility , but still a little vague.
    Most of our patients ,however are level 4-5 and this is often upgraded based on the wait time or the patient,s condition. This system can also be used with a color coding for each level.
    Since this system is relatively new we are still evaluating and devising more guidelines for a better triage of our patients.
    How do you evaluate your triage? Do you chart audit, Survey ?
    Any feedback appreciated!

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    I work in an ED caring for 47,000 pts yearly. One year ago we began using a three tiered category system for triage. I would like feedback from anyone who has used a five level system or the three level system. We sometimes find the three tier system limiting and vague. Anyone have any comments ideas?

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    I WORK IN A FAIRLY BUSY EMERGENCY DEPT 43.000 PER YEAR. WE USE CONSCIOUS SEDATION WITH STRICT GUIDELINES INCLUDING DOCUMENTATION EVERY 5 MINUTES OF VS, MEDS, CARDIAC RATE AND RHYTHM, SAO2 AND LOC ACCORDING TO THE RAMSEY SCALE. WE HAVE DISCHARGE CRITERIA BASED ON THE ALDRETE SCALE, PAIN AND NAUSEA CONTROL AND STABLE VS INCLUDING SAO2. WE USE COMBINATIONS OF NARCOTICS AND VERSED AND/OR SUBLIMAZE. ON ANOTHER NOTE WE KEEP A RAPID SEQUENCE INTUBATION KIT IN WHICH WE STOCK ETOMIDATE, VERSED, SUCCINYLCHOLINE AS WELL AS OTHER DRUGS.WE DO NOT USE ETOMIDATE FOR CONSCIOUS SEDATION. WE USED TO HAVE A KETAMINE POLICY BUT WE FOUND IT WAS TOO UNPREDICTABLE. WE HAD PEDIATRIC PATIENTS WHO HAD POST-PROCEDURE STAYS OF 4 HOURS PLUS (IN THE ED) AFTER KETAMINE ADMINISTRATION. SOME OF THE OTHER ROUTES WE HAVE TRIED WITH PED PATIENTS HAVE INCLUDED INTRANASAL VERSED WITH VERY LIMITED SUCCESS.

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    I am the unit coordinator for an emergency dept which staffs all rn. we see over 42,000 patients yearly and we are working on certification for level 2 trauma center. my administration is interested in staffing with paramedics or emts. can anyone give me any feedback: salaries, experience with emts in eds, licensure, any info?



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