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Here is a listing of the supplies contained in the drug and airway boxes carried by ED nurses transporting patients for diagnostic tests at McKay Dee Hospital in Ogden, UT.
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Critical care patients being held in your ED for hours at a time are probably a familiar sight. Youre probably aware of the increased patient care needs these patients have, such as additional monitoring and assessment. But there is another factor putting these patients at risk: The chance of severe injury or death during transport for diagnostic tests such as computed tomography (CT) scans and magnetic resonance imaging (MRI).
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Have you pictured accreditation surveyors interviewing your newest, least well-spoken nurse about your restraint policy, as part of the new Shared Visions, New Pathways survey process that began in January 2004? Or have you envisioned patient tracers being done for an ED patient where everything that could go wrong, did?
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Are you ever tempted to tell a patient with a sore throat who comes to your ED on a busy Saturday night that hell most likely be there in the morning, still waiting to be seen? What about if a woman with a headache asks you if shell make it home in time to pick up the kids at school and you take one look at the crowded waiting room and know the answer is no?
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This is the second of a two-part series on switching to a five-level triage system. This month, well cover effective strategies to avoid problems during the transition.
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When a trauma patient comes to your ED, are head and extremity injuries the first thing on your radar screen? Nurses often look for obvious trauma and forget to assess the abdomen sort of like the saying out of sight, out of mind, says Kelly Arashin, RN, CEN, night charge nurse and trauma coordinator for the ED at Hilton Head (SC) Regional Medical Center.
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Having managers or directors perform tours of your ED can help you and your staff prepare for unannounced surveys, say sources interviewed by ED Accreditation Update.
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Many ED managers are unsure of how to prepare for unannounced surveys from the Joint Commission of Accreditation of Healthcare Organizations, which began for all facilities on Jan. 1. Here are insights from those who have had firsthand experience with the process.
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As an ED manager, you may be accustomed to handling the brunt of responsibility for accreditation surveys. But under the new Shared Visions New Pathways process from the Joint Commission on Accreditation of Healthcare Organizations, surveyors will be talking with your staff and your patients. How on earth can you prepare for that?