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Copy of Emergency Department

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Denise Campos

on 18 December 2014

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Transcript of Copy of Emergency Department

Nina Shatto
Emily Conrad
Denise Campos
Emergency Department
47 rooms
Eli arrives at the emergency department through the ambulance entrance
Responsibilities of the team leader
Team of the ER

In the early 1960 the number of E.R visits was rising.
physicians were no longer doing home visits
patients with critical conditions found there way to the emergency department.
ambulance run by morticians or funeral directors.
police vehicles
upon arrival patients were seen by almost anyone
unsupervised interns
seen by many specialist because department was understaffed
National Academy of Science announced "Accidental death and Disability, the Neglected disease of modern Society"
Vietnam war demonstrated how poor civilian trauma care was in comparison to that received by soldiers in the filed.
The American College of Emergency was founded

The specialty of emergency medicine was founded by The American Board of Specialties.
before this the emergency department was a variety of physicians trained in various departments
Common Names
Emergency Room
Accident and Emergency
Casualty Department
Emergency Department
Protocols For:
Recap Time
In the 1960`s what was the Emergency transportation?
A. Ambulance
B. Cop car
C.Tonka truck
D.Funeral car
E. Both B &D

Social Worker
Nursing supervisor

Team Leader
Should not touch patient

Coach of the Team (he or she directs)

Usually Most experienced amongst the
emergency staff
Keep track of whole state of the patient

Order fluid or blood

Supervisor Spinal Maneuvers

Consults with doctors, surgeons
Doctor Aka Circulation Doctor
Evaluate/manage circulation

Decides on any medications that need to be delivered to the patient

May also perform additional procedures such as test tubes

Must be able to work with nursing team with cooperation

Provides team with any x-ray that are needed at that moment

should arrive as soon as he receives a page of a trauma code

should start with trauma series of x-rays
Cervical Spine
Chest and pelvis

Who is the Coach of the team?
A. Doctor
B. Team Leader
C. Radiographer
D. Patient
Social Worker
Not involved in whole care of the patient
attends family of patients

Help family cope with loss and give them options to talk to a counselor Chaplin etc

Contacts coroner and notifies family at once if patient comes in at DOA

after hours nursing supervisor will take over
Not involved in any direct patient care

Documents everything
vital signs
meds given and at what time
Arrival of patient
Contacts departments such as lab,
Respiratory Dept, and radiography etc
Recap Time??
What is the purpose of the trauma Team??
A. Provide a safe and Efficient evaluation of patient?
B. Eat
C. Watch Chicago Bear Football
D. Clean Supplies
protocols are a special set of rules followed by medical staff
Protocols begin upon arrival of patients
Each protocol is different for each patient with diverse symptoms and any situations that arise
Exposure to Blood
Chest pain

Example of Stroke Protocols
1) patient is admitted to trauma room
2) Emergency scan is ordered
3) I V started for possible administration for medication
4) continuous monitoring of vitals
5) labs are drawn
6) Administration to ICU if needed

When do protocols come into play?

A. upon departure
B. during examination
C. upon admission
D. At lunch

The admission process is a very simple protocol but also very important

•This is where vital
information is
being obtained
such as address and

Discharge can't begin until the Doctor says the patient is well enough to go home

at this point paper work will continue to be filled out by medical staff
•The nurse will then Proceed to give the patient discharge papers which are a set of guidelines and rules on how to take care of themselves
at home
follow up, and
when to return
Different trauma levels
Different levels refer to the kind of resources available in a trauma center

The different levels are 1,2,3,4,5
Level 1
Provide total care for every aspect of injury
gun wounds
cardiac arrest

Have 24 hour coverage by general surgeons and prompt availability of care
Level 2
Able to initiate definitive care for all injured patients

24 hour coverage by general surgeons and prompts availability of care

if cardiac surgery , hemo-dialysis, and micro vascular surgery is needed patient may be refered to a level 1 trauma hospital
Level 3
•Very limited and may demonstrate and ability to provide prompt assessment, resuscitation, surgery, intensive care stabilization or injured patients.

•Have 24 hour immediate coverage by general surgeons and prompts availability

•has transfer agreement for patients if they require more care at higher level of trauma hospitals
Level 4
Not advanced as the others but they provide advance trauma life support (ATLS)

provides evaluation, stabilization, diagnostic capabilities for injured patients.

have basic emergency dept. facilities
Level 5

Just stabalize a patient and prepares the patient for a transfer to higher level of care
usually smaller based hospital and needs of treating patients are very scarce
recap time
How many different trauma levels are there?
a. 10
b. 2
c. 5
d. 3
Recap time
What level center just stabilizes a patient and prepares the patient for a transfer?
a. level 1
b. level 2
c. level 5
d. pediatric room
Costs and Insurance
There are more than 136.1 million visits to the ER each year
Costs and Insurance
Millions of people end up in the ER for minor inflictions
One-third to one-half of all ER visits are non-urgent
Some more common visits consist of upper respiratory infection, sprains, earaches and contusions
Averaging Costs
Averaging 4000 hospitals across 4 Mid-Western states, here are some of the costs per visit
-Allergies $345
- UTI $665
- Upper respiratory infection $486

•If patients had the appropriate knowledge on medical health insurance it could save over 18 billion in medical care
• Each year the hospital sends million of claims to debt collection agencies, writes off millions of dollars to charity and sues hundreds of thousands of patients whom have unpaid bills from ER visits
• These debts and high costs can be avoided by properly being informed of free federal aid that they may qualify for

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