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Transcript of Emergency
A person with a medical condition requiring immediate treatment.
The Parkview Excellent Care Process
check the patient in
get the story
FIND a room and get them what they need
What do they need?
Monitor rooms: 1, 2, 25-30
Trauma room: 24
Isolation rooms: 6, 28
Pelvic rooms: 3, 9
Nonmonitor rooms: 3-10
Open 24 hours, can accept any level emergent patient, pink team/orange team/red team nursing, "Fish bowl"
Tech duties: transporting, cleaning, stocking
Patients we see on Mod 1
Monitor rooms: 15-19
Trauma rooms: 20, 21
Pediatric trauma room: 23
Isolation rooms: 13, 22
Nonmonitor rooms: 11-13, 22
Grieving room: 19
Open usually from 11 am to 10 pm, can accept any level emergent patient, blue team/purple team/red team nursing, specialized for trauma
Tech duties: transporting, cleaning, stocking, traumas, flights
Patients we see on Mod 2
Level 1-2 traumas
No monitor rooms
Pelvic rooms: 40
Nonmonitor rooms: 31-40
Two nurses: five patients each at max
Open if we have enough staffing, usually from 1 pm to 11 pm, no patients allowed to be placed on the unit past 9 pm, accepts only the lowest level of emergent patients
Previously known as "Fast track"
Tech duties: Transporting, cleaning, stocking
Patients we see on mod 3
Absominal pains (age restriction: above age 3 and below age 60)
Fever (age restriction)
Get the EKG for any:
Medical Team Activate
Must be done within 10 min of patient arrival by national standard
At PRMC our standard is 6-7 minutes of patient arrival
Process in less than 6 minutes!
No shirt, bra, etc.
one on each leg, each arm, and six across the chest (two third intercostal space, fifth intercostal space below lead 2, fifth intercostal space midclavical, fifth intercostal space midaxillary, and one between midclavical and midaxillary
Connect the leads:
Chest (left to right)- I, II, III, IV, V, VI
Snap the picture and get to the doc ASAP!
Transmit and chart
center of the department, runs all three Mods, watches after triage, assists EVERYWHERE they are needed.
Answers every phone call, makes phone calls for doctors, answers the radio for medic runs, makes announcements over head (for: phone calls, traumas, medicals, huddles), keeps log of consult calls, keeps paper work in order for all activates, directs techs to where they are needed, etc.
Something to think about
12 Patients in the lobby, 5 medic run calls, no open rooms, no flow
Running out of supply
Multiple high level traumas at one time
What Makes us Faster?
one tech and one nurse
portable vitals machiene
triage rooms for quick test access
beds in the triage rooms
rapid infusers/stock cabinets/IV poles already waiting in the room
Beds with wheels/slippy sheets
Beds with wheels
Medication dispenser (PYXIS)
Monitors (Central Monitoring)
Track Badges/Cell Phones/ Pagers
Call Light System
Easier EKG process (wireless)
Shorter lobby wait times
Having an ER overflow unit with just as many beds as the ER
Better floor communication
Having a cut off number and utilizing other area hospitals
Hospital/Nation wide charting system
More accomodating beds
Easier transport beds
Unit SPECIFICALLY for EMS runs
Common Employee Complaints
We need a transport team
We need better staffing
better nurse/patient ratio
8 hour shifts rather than 12
We don't get the 30 minute break that other departments get
X2, TeleBoxes, Beds, Ceiling lifts
Walk In Clinic: either do something or send them home! Get too many non-emergent patients from the clinic.
Similar and Different: Parkview Randalia vs PRMC
much bigger building
More specialized units
Different types of trauma