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Hospital clinicians in the United States are watching with grave concern as severe acute respiratory syndrome (SARS) a rapidly emerging infection with unclear treatment options strikes the health care system of their Canadian colleagues.
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This is the second of a two-part series on improving ED reimbursement under ambulatory payment classifications (APCs). This month, we cover staff physicians, supplies and medications, local medical review policies, and proper use of modifiers.
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By putting in saline locks instead of intravenous (IV) lines, you save the cost of IV fluids that often are not needed, says Marianne Gausche-Hill, MD.
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Whether a bite or sting results in an anaphylactic reaction, impressive
local effects, or a life-threatening systemic reaction, the emergency
physician must be able to institute appropriate and effective
treatment. Emergency physicians also must be able to recognize clinical
envenomation patterns, since some critically ill patients may not be
able to convey the details of the attack. Since all areas of the
country are represented in the envenomation statistics, all emergency
physicians should be familiar with identification and stabilization of
envenomated patients and know what resources are available locally for
further management of these often complicated patients.
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Imagine being told to send home almost one-third of your ED staff with absolutely no advance notice and those technicians, nurses, and physicians being off the schedule for several days. Thats exactly what happened to an ED manager at Presbyterian Hospital in Albuquerque, NM.
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In a hectic and crowded ED, it is a daunting challenge to limit the number of individuals who have contact with a potential severe acute respiratory syndrome (SARS) patient.
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ED staff at William Beaumont Hospital are asked the following questions to assess their knowledge about severe acute respiratory syndrome (SARS).
