mcvaragon replied to MAISY, RN-ER's topic in Emergency
To Maisy ER RN, Our system was the following: During times when beds were available, an EMT/ Paramedic is at triage. They simply identify that the patient is here to see the ER Doc and either select...
mcvaragon replied to MAISY, RN-ER's topic in Emergency
From reading your explanation above, your ER sounds like it is going beyond the basic triage bypass or quick triage scenario. The process that we use is that the patients go back until the rooms are...
mcvaragon replied to kmoonshine's topic in Emergency
I would suggest the following: 1. If you have shared governance, suggest they do an ESI Audit Tool. If you don't, bring it up to leadership. 2. I would ask that your leadership approach flow...
mcvaragon replied to JessicRN's topic in Emergency
We start the dopa/levo if patient is critical and request the central line. Chances are if you don't, you won't have a line for long and a mess on your hands. Conscious sedation is conscious...
mcvaragon replied to MAISY, RN-ER's topic in Emergency
I have bypassed Triage at my last 4 ED's..... it is a best practice and perhaps your new Director should show the evidence based practice to the staff. 1- Triage is a process and not a place. 2-...
I've been there, done that.. got the T-shirt (and the shoes). I can say that I loved every minute of it. I flew Aeromedical Evacuation and worked in a large Air Force Medical Centers. There are only...
mcvaragon replied to Riseupandnurse's topic in General Nursing
This is interesting.... Let's start off by saying that healthcare "is" actually a business. The days of hospitals being run by nuns or insurance companies paying whatever the hospital bills them are...
What would I have my tech do? I would have the tech be the primary on ALL of the tasks within their scope. Unfortunately, many ER RN's have become task oriented. The techs see the RN ONLY doing...