spiritdancer

We are a similar size ER. We started using ESI this past spring. The way our flow works is that patients present their name and cheif complaint to registration clerks/greeters. That information is entered into our computerized tracking board. We use two triage nurses from 9am until 11pm. Patients with chest pain and other more serious complaints are triaged before less serious complaints. We practice comprehensive triage, including institution of standing orders. If a bed is not immediately available for a patient triaged ESI 2, we initiate EKG, labs, heparin lock, ASA, etc. in the adjoining sub-acute area until a monitor bed is available. Medical screening exams are done by physicians and mid-levels when patients are "seen." That is our main problem now, because during high volume times, patients triaged ESI 2 can wait 4 hours to be seen. We simply need more physicians and mid-levels to see patients and get them dispositioned.

1 pen (if I have more than one at a time, one gets lost), trauma scissors, name stamper, 2-3 #20 angiocaths (pre-filled flushes and IV set-ups are in each room) and micropore tape on my stethescope.

I am an ER nurse looking into traveling with my family. My husband is a solo practitioner attorney, but is willing to investigate appellate work and brief writing, as work-from-home options. My children are 16mos. and 6 y.o. We home schoolers. We are thinking about selling our house and buying an RV to use for our housing. Has anyone else done this? We would love to go to Florida and be close to my grandparents for the winter and spend other seasons close to my parents in Ohio and my in-laws in New York.

I too am investigating traveling with my family. We already homeschool our six-year-old son, but we participate in a homeschool co-op. I wanted to get some practical suggestions from someone who has traveled with their family. Did you sell your house? Only travel seasonally? What did your spouse do? Was it easy to find housing to accomodate your family? What about our dog?