...How to Use a 5-level Triage System Western Governors University Topic: The importance and application of a 5-level triage system. INTRODUCTION Attention Getter: I am currently a Charge Nurse in the busiest emergency room in Nevada. We see an average of 300 patients a day with wait time in the lobby upwards of 12-14 hours. Purpose: The purpose of my presentation is to inform. I want my audience to understand why a 5-level triage system is best practice and I want my audience members to have a basic understanding of a 5-level triage system and to be able to begin training in an ER triage setting. Audience: The ideal audience for my presentation are nurses that are newly graduated or new to the ER setting. My topic is specific for my intended audience and is beneficial for them. This presentation can be easily altered to address nurses that will be working in a pediatric ER. Significance: The ability to correctly triage a patient in an ER is crucial to patient safety and patient care. In a busy ER patients generally have to wait to be taken out of the waiting area. A triage nurse needs to be able to sort through the patients and decide who the priorities are. The intended audience will become the nurses making these decisions. Thesis Statement: Research shows that a 5-level triage system is best practice because ESI and CTAS provide dependability and reliability and because the implementation of a standardized ER triage process improves patient care. ...
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...Executive Summary A community assessment of the Frogtown and Summit communities along the University street corridor revealed several health disparities and flawed processes in the way care is delivered to these populations. One of the most pervasive problems is not accessing the correct level of health care when illness, injury or disease occurs. There are many factors for this occurrence. These include a lack of awareness, different cultural norms about health, language barriers and an ineffective or absent health care triage system. The identified problem is knowledge deficit of accessing appropriate health care related lack of knowledge related to accessing proper level of health care as evidenced by inappropriate use of emergency services for non emergent care needs. Background and context Four intrepid nursing students from St Catherine University undertook a community assessment of University Avenue from Snelling Avenue east to the capitol buildings otherwise known as Frog Town. Conversations occurred with stakeholders including paramedics and local citizens at a Salvation Army. One disturbing trend that was identified is the use of emergency medical services and emergency rooms for routine care needs such as stomach flu. This occurs and is reinforced for several reasons. One of these is the 1986 legislation EMTALA that enforces that all hospitals must see and treat everyone regardless of their ability to pay. This is an unfunded mandate which means no reimbursement...
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...to function at a desired level ((Wynne, n.d.). The following information will be discussed in this paper: type of institution, type of nursing care or services provided, volume of activity of the G.V. Sonny Montgomery Veterans Affairs Medical Center, levels of nursing care involved, a summary of the results of the educational needs, assessment, and analysis, identification of the highest priority educational need, identification of institutional forces and those against responding to educational needs, and identification of the next step to respond to the educational need. Type of institution The G. V. Sonny Montgomery Medical Center (VA) is a federal hospital that provides convenient access to high quality medical and surgical service to more than 125,000 veterans ("VA Medical Center," 2014). VA is also a teaching hospital that is accredited by the Commission in Accreditation of Rehabilitation Facilities (“VA Medical Center, 2014). The hospital provides primary, secondary, and tertiary medical, neurological, and mental health inpatient care. The hospital also provides services in outpatient and ambulatory clinics five days weekly and has an emergency department that provides acute and emergency services seven days a week (“VA Medical Center,” 2014). VA provides quality and compassionate medical care to America’s veterans. Type of nursing care/services provided The nursing staff at the VA bases its practice on the...
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...Identifying and Evaluating a Website for Credibility Lori M. Rankin Chamberlain College of Nursing NR500 MSN Foundational Concepts and Application Summer 2015 Introduction Identifying and Evaluating a Website for Credibility The Agency for Health Research and Quality (AHRQ) http://www.ahrq.gov is a website that provides a plethora of information. I was able to locate this website using the Google search engine. The purpose of this website is to enhance and provide guidelines for clinicians, impacts on health care, and knowledge of where products and tools are used. This site also lists tools of improving patient care. A credible website also provides quality of journals, peer-reviewed articles and systematic reviews. I chose this data base for best practice information on current issues. Analysis The ARHQ is a website with a search engine database that is owned and published by the U.S. Department of Health & Human Services. It provides information on evidenced-based practice, provides continuing education opportunities, explores treatment options and gives up to date information on latest news and events. ARHQ is not limited to healthcare providers but is also available to consumers and patients and is labeled for simple navigation. Additionally the website provides a link in Spanish. The website in Spanish is identical for the website in English. The category link for patients and consumers provides information such as “Questions To Ask Your Doctor...
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...Do X-rays Requested By Triage Nurses Decrease Waiting Times? Research in Health and Social Care Introduction: Since 1991 when the patient’s charter (Department of Health 1991) was introduced, Accident and Emergency (A&E) departments have been under pressure to see, treat and discharge patients within a certain time period. In 1991 75% of walking wounded who presented to the department had to be discharged within one hour. It was subsequently changed in 2004 when the government decided that 98% of all patients attending an A&E department should be in the department no longer than four hours (Department of Health 2004). And again in 2011 when the department of health introduced the clinical care indicators that relaxed the target to 95% seen, treated and discharged or admitted in 4 hours (Department of Health 2011). Triage nurses within the accident and emergency department are one of the first people to assess the patients who present with an injury or illness. The patient’s condition is assessed and their need for how quickly they require treatment is prioritised. Triage nurses are usually experienced A&E nurses who have many years A&E experience (Dolan et al 2007). Patients are then placed in queues to await assessment by a Doctor or Emergency Nurse Practitioner. Once seen they are then put in another queue to await x-ray if necessary before waiting again to see the doctor/ENP that will interpret their x-ray and decided on the best course of treatment...
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...Hotel-Dieu De France Beirut-Lebanon Word Count: 3,477 CONTENTS I- Executive summary 3-4 II- Introduction 4 III- Company Profile 4-5 IV- Problem and Processes Description 5-8 1- Problem definition 5-6 2- Patients flow model at hdf 6-8 V- patient Flow and Capacity Theories 9-12 3- Process mapping 10 4- theory of constraints 10-11 5- lean tools 11-12 VI- HDF processes evaluation from the capacity theories perspective 12-16 VII- Proposed changes and their effects on customer service 16-18 VIII- Final Recommendations and conclusion 19-21 IX- REFERENCE I- Executive Summary: Reducing operational inefficiencies is paramount to healthcare providers across the globes, who are...
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...believes are “gas pains.” During the next hour the pain and fever appear to be lessening and Lilly proceeds preparing herself and her children for school. Around 10:30, Lilly notices that the pain in her right lower quadrant has returned. She is sweating and concerned that she may have a worsening fever. She contacts her supervisor and informs her that she is going to be out sick for the rest of the day. She telephones the office manager for her primary care physician, Dr. Maureen Woods, and requests an office visit. Dr. Woods’ office manager is trained in the use of a practice-specific triage protocol, the details of which are outlined in a standardized computer algorithm. Patients with routine or non-urgent concerns are slotted into open appointment blocks, whereas more urgent issues (including Lilly’s call) trigger a telephone handoff to the nurse practitioner who is assigned to triage for that day. The nurse practitioner conducts a telephone interview and instructs Lilly to come directly to the physician’s office to be seen before the...
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...In this paper natural disaster scenario case of a small town on Gulf Coast that was struck by a hurricane will be discuss, also management detailed plan for patients’ medical record privacy and security will be discussed. The implementation of management plan for staff training and code of conduct will be discussed. A disaster is an adverse event as a result of natural processes of the Earth. It can cause losses of life, property damage, and electronic damage. Examples of natural disaster are flood, volcanic eruption, earthquakes, tsunamis, and other geologic processes. Actions to take when patients ask for their records Patients health care records serves many purposes to patients, it provides patients with accurate summary of patient’s health, patients have legal right to demand for his or her medical records at any time, but in a situation when an unexpected natural disaster destroyed patient files, and patients are requesting for his or her medical records, the actions to take is to contact water, fire, damage storm restorative company, and data recovery via electronic will be considered .The damage restoration services must be performed according to HIPAA...
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...Injury is an increasingly important health problem throughout the world. Every day, 16000 people die from injuries, and for every person who dies, several thousand more are injured, many of them with permanent sequelae. Tens of millions of people suffer injuries that lead to hospitalization, emergency department or general practitioner treatment, or treatment from informal sector. The burden of death and disability from injury in low- and middle-income countries (LAMIC) outnumber the same from high – income countries. The greatest part of the total burden of injury, approximately 90%, occurs in LAMIC countries. The scale and spread of injuries calls for integration of trauma and emergency care with primary health care system in LAMIC countries....
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...addition, BONs approve pre-licensure nursing education programs and oversee the licensure examination of nurses. All health care professionals must pay licensure fees in order to practice legally in their state. These activities assure that the public is cared for by qualified individuals (McDaniel, 2013-14). Professional nursing organizations have the same goal as BONs, to protect the public, however the method by which it is accomplished is functionally different. Nursing organizations are nurses working together to develop professional standards and practices, codes of ethics, and to promote and to protect to economic and general welfare of nurses (McDaniel, 2013-14). The mission of the Emergency Nurses Association (ENA) is to “advocate for patient safety and excellence in emergency nursing practice” (ENA, 2016). Membership to ENA is voluntary and it provides resources for nurses for clinical practice guidelines, a code of ethics, research...
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...ID#110204 PUBLISHED ON MAY 20, 2014 Emergency Department Congestion at Saintemarie University Hospital BY LAURENT HUBLET * , OMAR BESBES † , AND CARRI CHAN ‡ Introduction In late 2009, Marc Dupont, CEO of Saintemarie University Hospital, had just ended an extremely tense phone conversation with the state secretary of health. The secretary was very concerned about the wait time in the hospital’s emergency department (ED). The recent coverage of these problems in the local press, which repeatedly echoed complaints of patients and their families, was making things worse: It took them 18 hours to take care of my mother when she was admitted to the emergency department in the Saintemarie University Hospital — Saintemarie Tribune (March 2009) On September 8, Nancy (86 years old) had to wait eight hours in the ED with a broken leg before seeing a doctor — Saintemarie Tribune (September 2009) Saintemarie was a midsize European city with a population of 512,000. A few private clinics in the area provided urgent care (i.e., treatment which does not require hospitalization), but were unable to handle acute emergencies. The hospital’s ED was the only emergency care unit available in the Saintemarie metropolitan area. The only alternative to it was a hospital located 50 miles away; patients had to be transferred there by helicopter, which happened rarely because such transfers were extremely expensive. Given its central role, Saintemarie University Hospital was under...
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...[PROBLEMS IN THE EMERGENCY DEPARTMENTS OF PAKISTAN] ADVISOR: MR OMAR AZIZ BABAR GROUP MEMBERS: ABSHAM MEHBOOB (08-0014) AGHA MUREED AHMAD (08-0636) HAMZA AHMED JALAL (08-0282) NABEEL ATIQ SYED (08-0141) SYED ALI HAIDER SHAH (08-0176) SUBMISSION DATE: 07-05-2012 This project is solely the work of the author and is submitted in partial fulfillment of the requirements of the Degree of Bachelors of Business Administration EXECUTIVE SUMMARY Our FYP project is based on the issues in the emergency department of health sector of Pakistan on which we are conducting a research work. As we hear about the problems that occur in this department of health sector and the difficulties that people face we will be looking into the depth of these issues and try to highlight the key points that create such a situation. Our main objective is to find the gap between the perception and reality. We go about in our project first giving a brief introduction of the emergency department of health sector according to the secondary data that we collected. We also discussed the techniques, strategies and standard operational procedures i.e. SOP’s according to which emergencies should operate. Moreover we also discussed emergency ethics that are the first and foremost base to determine how the doctors are expected to behave with...
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...Lesson Plan: Electronic Medical Charting NUR/588 May 19, 2014 Bianca Needham Professor Gail Wolf Identification of the educational need and rationale: The implementation of electronic documentation for medical records, medications, and nursing flow sheets has replaced the existing paper documentation and is currently the educational need with the highest priority for the Emergency Department at the University of Massachusetts Memorial Medical Center. In a continuous care operation, it is critical to document each patient’s condition and history of care, to ensure the patient receives the best available care. The medical record documents the care of the patient and can immediately be accessed, updated, and passed among the interdisciplinary team of caregivers. The Emergency Department is the initial passageway to the hospital for most patients. Electronic documentation is a patient’s health information including medications, allergies, past and present illnesses, and family history can be gathered upon their initial presentation and up-to-the minute revisions can be made by the healthcare team throughout their hospital stay. The Electronic Medical Record/Charting can be designed to hold collaborative information from all providers that are involved in the patients’ care. With each subsequent visit thereafter, the patient’s demographic, insurance, and health history database will automatically pre-fill the electronic template alleviating nurses of time restraints...
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...paper is to discuss how these 44.3 million are able to access healthcare and how there lack of access is detrimental to everyone. The Uninsured Two-thirds of people who are uninsured are between the ages of 18-65, have a job and more than half of these older adults have an increased risk of serious health problems. Being uninsured breaks all gender and ethnicity barriers and affects mainly the poor or near poor (Mason, Leavitt & Chaffee, 2014). Uninsured people have less access to preventative services and have more trouble finding a doctor or finding one that will take them as a new patient than those with public or private insurance (Gindi, Kirzinger & Cohen, 2012). When they do seek out medical attention many times it is in an emergency room and there illness may be in more advanced stages which means that there treatment will be more expensive. According to the Agency for Healthcare Research and Quality (AHRQ) the average ER visit can cost around $1500, the subsequent bill for these visits can be difficult to pay when that is more than you make in a month. These unpaid costs are absorbed by hospitals and then portions are passed on to insured patients increasing costs for the 270 million people who do have health insurance. This is not a new problem but it is a growing one as we watch the middle class disappear and the gap between the wealthy and poor widen. Influence on the Delivery of Health Care Medicaid and uninsured patients...
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...University: UNV 515 December 16, 2015 Multidisciplinary Teams In Health Care Hospitals are integrating a variation of team-based health care delivery concepts for staff working in intensive care units, emergency rooms, and operating rooms. Team-based health care delivery often referred to as multidisciplinary teams, improve communication between different levels of healthcare workers. According to Epstein (2014), multidisciplinary teams are responsible for improvements in patient outcomes, improved patient and employee satisfaction, and most importantly a decrease in adverse events (AE). Case Description Peter, a 24 year-old male involved in a traffic collision has suffered internal bleeding due to liver trauma and is in need of a surgery and a blood transfusion. Past medical history includes asthma, diabetes, and a significant drinking problem that started at a very young age. It is important to note that the patient is a Jehovah’s Witness and his mother raised him without a father figure. Health Care Delivery Team The multidisciplinary team delivering care to the patient include: the paramedics that arrived at the scene of the accident, extracted the patient from the car, and transported the patient to the emergency department, the registered respiratory therapist that assisted in intubating the patient and was appointed to make sure the patient had ample respirations, the bedside registered nurse that was assigned to make sure the patient...
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