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EMERGENCY ROOM OF THE FUTURE Group 3 Chung-Lun Kua, Brandon Thompson, Sue Bhat Hallway Beds Ambulance Diversion Records Management September 23, 2008 Hallway Beds Observations 4 patients in the hallway 12 total hallway bed stations Typically reserved for low acuity patients

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emergency room of the future

EMERGENCY ROOM OF THE FUTURE

Group 3

Chung-Lun Kua, Brandon Thompson, Sue Bhat

  • Hallway Beds
  • Ambulance Diversion
  • Records Management

September 23, 2008

hallway beds
Hallway Beds

Observations

  • 4 patients in the hallway
  • 12 total hallway bed stations
  • Typically reserved for low acuity patients
  • Beds filled by order of arrival
  • Lack of electrical outlets
  • Medical carts not linked to nursing station
  • Patients have to be moved out of rooms into hallway sometimes

HS 8803: Emergency Room of the Future

Group 3: Brandon, Chung, Sue

hallway beds3
Hallway Beds

Issues

  • Patient privacy
    • Patient liaison receives higher complaints from hallway beds in front of nursing station
    • Patients must be moved for sensitive screening
  • Nurse privacy
  • Noise level in the hallway
  • Family crowds hallway – nowhere to sit

HS 8803: Emergency Room of the Future

Group 3: Brandon, Chung, Sue

ambulance diversion
Ambulance Diversion

Observations

  • Emory uses eRESCUE
    • Requests help from Hospital
    • Attempt to reduce diversion
  • Criteria is hospital specific
  • EMS can still deliver patients
  • EMS – patient chooses hospital regardless of diversion

HS 8803: Emergency Room of the Future

Group 3: Brandon, Chung, Sue

ambulance diversion5
Ambulance Diversion
  • eRESCUE Criteria (need 2 or more triggers)
    • All beds full & > 12-15 patients in waiting room
    • Holding 2 or more patients for ICU
    • Holding > 4-6 patients for bed assignment
    • Level 2 acuity patients in waiting room
    • Total ED volume > 45
  • Diversion Criteria
    • eRESCUE insufficient to decompress ED saturation status

HS 8803: Emergency Room of the Future

Group 3: Brandon, Chung, Sue

slide6

Ambulance Diversion

HS 8803: Emergency Room of the Future

Group 3: Brandon, Chung, Sue

records management
Records Management

Observations

  • Emory uses Electronic Record System
    • Able to access electronic medical records
    • Patient status available to all nurses
    • Can track lab status
  • Data entered by:
    • Admin, Triage, ER nurse, MD
  • EMS provides a paper registration form
  • Meds can be ordered electronically

HS 8803: Emergency Room of the Future

Group 3: Brandon, Chung, Sue

records management8
Records Management

Issues

  • Electronic Record System
    • Unable to pull electronic records from other hospitals
    • EMS registration must be entered manually
  • EMS provides a paper registration form
  • Patients’ registration papers must be entered manually (why not let patients enter their own data into the computer?)

HS 8803: Emergency Room of the Future

Group 3: Brandon, Chung, Sue

observation references
Observation References

Emory Crawford Long Emergency Department

  • Valorie Sweigart, RN, ER Nurse Director
  • Donna McCloud, RN, ER Charge Nurse
  • Candice Dickson, ER Clerk
  • Marjorie Bolton, ER Patient Liaison
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