Harbor:RME Manual

RME Provider Manual

Patient Flow

• Quick team huddle at beginning of shift
  • Physician, NP's, RME charge, LVN
  • Determine team roles (who will primarily screen/discharge)
  • Write names with spectralink numbers on the whiteboard (there are 4 phones!)

• Priority is to provide MSE to all patients presenting to the ED

1. Chest Pain (door to EKG <10 min)
   1. To “review” the EKG: Double click eyeglasses, write “NO STEMI Activation”, and click “ED review and close”
   2. NP may review if read is “Normal Sinus” otherwise the physician needs to review in ORCHID
2. Focal neuro deficit (door to eval <10 min, door to code stroke activation <15 min)
3. ESI 2 then 3
4. Many of the ESI 4 & 5 Patients may be seen and discharged concurrently
   1. If additional workup is needed on these patients, place orders and they should be placed in rooms 7 & 8 for the Fast Track NP/resident

• Communicate with RME charge for patient flow - they will find a bed for critical patients

• Registration: x2075, 2076
• UCC Charge RN: x8111, 8110

Patient Screening Process

• Optimal flow is to concurrently see the patients with the triage nurses (move between rooms)
• Once the patient is seen

Timesheets

• Daytime (099) - 6am, 9am, 10am
• Evening bonus (517) - 12n, 2pm, 4pm
• Night Bonus (504) - 6pm or 8pm
• Weekend Bonus (539) - Friday 6pm through
• 703-843: accrued OT (any work over 40 hours; maximum of 81 hours)
• 701-843: Paid OT (only when offered by director or Lead NP) or Part-time accrued
• 037: mandatory training (computer modules, skills lab)
• 024: Military time