Rickbos

We are trialing a new triage system to hopefully improve flow that has the triage RN do a portion of the patient registration, apply the ID bracelet, do the triage assessment, and then place them in a room after triage(if available) and the registrat...

We used to use pagers but 2 or 3 times a day I would "beep" the next patient and wait & wait & wait, and "beep" again ....but nobody would respond. I swear someone's garage door in the neighborhood was opening and closing instead.

Its all determined by total amount of resources utilized as outlined in Emergency Severity Index Version 4: Everything you need to know 5 LEVEL TRIAGE SUMMARY ESI 1 Needs life saving interventions ESI 2 Needs immediate Rx but not...

Hi Does anyone work in an ER where the Charge RN is responsible for the whole ER for their shift, triages all patients, and also has a patient care assignment in the ER? If so what type of patient load do they take, how many patients a day does your...

That is exactly how I feel about the safety aspect of having the charge nurse do triage and have a patient assignment. It is a set up for a bad outcome. Thanks for your answer.

Thanks....

Do you, as an RN, have to enter the patient name, DOB, ER doctor, and print out an ID bracelet & stickers as part of triage as part of your electronic triage?

We were proposing the patient upon arrival(if well enough to do so) fill out a carbon less copy triage form that has basic demographics(name, DOB, complaint, & med list). One part of the carbon less copy goes to registration and the other goes ...

We must have upset some folks in the front offices because we never heard a word from any of them on ER Nurses Day..... Amazing, life goes on!

We use a patient generated triage form that has Name, DOB, Reason For Visit, PCP, Meds & Allergies. Because we are in a resort area, we ask for a telephone # they can be reached at while they are visiting so we can contact them if follow up is ...

Somehow the emphasis with ER care has been put on giving the patient the "false sense" that they are getting treated better by rushing them back in to a room in the shortest amount of time regardless of their acuity. It is an attempt to increase Pre...

The Press Ganey pacifying "immediate bedding" management idea violates the original concept of triage.... "treatment as per acuity". If you want "first come first serve" go to the deli counter or McDonald's. If you want sound, efficient emergency ...

You are experiencing a lull because all your patients are summering in my ER on Martha"s Vineyard. Please put a return address on your folks so we can send them back to the correct point of origin when they are done here. Have a great summer, where...

After watching the the 5 Level Triage DVD a couple years ago I made up this little cheat sheet to help me remember the ESI levels. This is solely based on the instructional dvd and really the 5 levels the author of the original question uses are rig...

Thanks for your ideas. Since I posted the original message I have worked it out our ER registration folks to register the patient in a timely manner to eliminate the problem I originally had. All is well for now...thanks

We have a triage policy that allows the triage nurse to send certain complaint specific labs off out off triage and x-rays on obvious deformities. We do not have electronic order entry and the printed patient labels do not get generated for as much ...

If we continue to accept assignments that go beyond a nurse's ability to deliver safe care and do nothing to improve the situation, we are endangering the very patients you feel a nurse that chooses to go on strike, is abandoning. A strike is not so...

That would not be needed. I neglected to say that the labs we have standing orders for are strep screens, Urine for C&S, and UCG. We rarely send blood off from triage and that would involve a consult/order from the ER attending.

I have heard of this concept but have always felt it fell short of the intended purpose/function of an ED. EDs are supposed to deliver "prioritized" care to those with "emergent" issues as per the 5-Level ESI triage system used by most EDs. They do ...

RNs do not administer Propofol IVP at my facility, just via drip with vented patients. We do use capnography when we do conscious sedation and that would have have verified/documented your apnea situation instantly. As for your physician's lack of ...

I did have an idea that was not put into play that addresses the "Frequent Flyers" you originally asked about. It was a "Frequent Flyer Card". The patient has to present it in Triage every time they come to the ER. You would punch it on the botto...

What ever happened to the good old days when you could say...."We're here to save your a_ _, not kiss it!" Yes, I know they are long gone. The former "patient" is now the "customer" and patient satisfaction fulfills the "bottom line" and, as with an...

We are about to open a new ER and the plan is to keep some patients that presently would be admitted to an inpatient unit, prior to the new hospital. The reason the ER is coming into play now is that we are a critical access facility and can only ha...

I was wondering how many hospitals allow ambulatory patients & visitors to access the ER directly through the ambulance bay? I work in a hospital that for 35 years, has allowed the ambulance bay to be an open access point to the ER & the res...

I once heard one of my co-workers, with a straight face, tell a frequent flyer, drug seeking patient in triage........"Pain is natures way of telling us to slow down." followed by about 30 seconds of dead air.....