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Favoring old-school etiquette over universal masking, some clinicians are urging a common-sense appeal to patients to use tissues and block coughs and sneezes in case severe acute respiratory syndrome (SARS) makes an unwelcome return.
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It was a tragic story that received national media attention: A 9-month-old died of a morphine overdose administered in a hospital, and the error was traced back to an unseen decimal point in a physicians order.
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What can we say to an ambulance crew who bring a patient to our hospital when we think the patient would be better cared for at another facility? If we have a good reason, can we tell them to take the patient elsewhere without risking an EMTALA violation?
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Consider making your ED more kid-friendly with these tips from Janice Frohman, MS, RN, administrative director for emergency services at WakeMed in Raleigh, NC, and Betty Jo Torres, RN, clinical director of the ED at Verdugo Hills Hospital in Glendale, CA:
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These are excerpts from the policy on how the emergency department at the Medical College of Georgia Medical Center in Augusta responds to surges in patient volume:
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Its been such a slow morning in your emergency department that youve actually been able to catch up on paperwork. Then three new patients arrive within minutes of each other. Then another six patients come in, one right after the other. Before you can finish triaging them, three more trudge in the door.
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Times still are tough for both physicians and nurses in emergency medicine when it comes to income and career opportunities, but there could be reason for optimism if the national economy continues its upswing.
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One component of the new accreditation process the Joint Commission on Accreditation of Healthcare Organizations will launch next year has some ED managers wondering about potential legal exposure.