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A new psych unit, located within about 100 feet of the main ED at Vanderbilt University Medical Center in Nashville, TN, has freed up precious bed hours while improving staff and patient satisfaction.
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While the creators of the Psychiatric Transition Unit at Vanderbilt University Medical Center in Nashville, TN, could find no pre-existing models to emulate, the successful unit they created may now serve as a model for other EDs.
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In a warehouse owned by Fort Lauderdale, FL-based Broward Health, teams of nurses, physicians, and techs from the EDs at Coral Springs Medical Center and Imperial Point Medical Center, both in Fort Lauderdale, recently toured mock emergency treatment rooms as the final stage of preparation for construction of the new EDs at those Broward Health facilities.
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Since the hospitalist concept was introduced several years ago, proponents have lauded its potential advantages: all-day availability, greater familiarity with the hospital environment, improved clinical expertise through greater experience, increased incentives to reduce lengths of stay, and freeing up physicians with outside practices.
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Things were a little slower than normal on Tuesday evening, March 25, in the ED at Caritas Norwood (MA) Hospital.
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An ED manager must work closely with several other departments to ensure the success of a sepsis treatment program, says Tom Sweeney, MD, FACEP, vice chair of emergency medicine at Christiana Care Health Services of Wilmington, DE.
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As the old adage goes, "If you can't beat 'em, join 'em." That's exactly what the ED leaders at Harborview Medical Center in Seattle did about one year ago when they noticed the rapid growth of urgent care clinics within local pharmacies.
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On Sept. 29, 2005, the lives of the ED staff at St. Mary Medical Center in Langhorne, PA, were affected dramatically when a man arrested for DUI pulled a gun and shot an ED technician and two police officers one fatally.
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The public safety room at St. Mary Medical Center, Langhorne, PA, has several special features to help ensure the safety of staff and patients in the ED, according to Harry Myers, director of safety, security, and parking. Here is his description of those features:
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"If a hospital permits physicians to selectively take call while the hospital's coverage for that particular service is not adequate, the hospital would be in violation of its EMTALA obligation by encouraging disparate treatment."
