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New regulations regarding the Emergency Medical Treatment and Labor Act notwithstanding, patient access managers continue to seek clarity on exactly how much registration activity may take place in the emergency department before a patients treatment is completed.
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It was pretty close to business as usual for New York Presbyterian Hospital during the electrical blackout that hit a large swath of the northeastern United States in August 2003, but with one important realization gained: The information systems department was located too far from the main campus.
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When an explosion happened at a nearby bean processing plant, the good news was that Mercy Medical Center in Sioux City, IA, was ready to handle the eight injured workers brought in for treatment.
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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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