Harbor:Screening EMS Patients: Difference between revisions
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** Ambulatory | ** Ambulatory | ||
** Cleared by Charge RN | ** Cleared by Charge RN | ||
**If your patient meets all 3 criteria, take them directly to the '''physician in triage''' | **If your patient meets all 3 criteria, take them directly to the '''physician in triage''' (or NP if physician is unavailable) | ||
*Charge RN must: | *Charge RN must: | ||
**Quick-register the patient AND | **Quick-register the patient AND | ||
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*Respond to screen ASAP to get EMS report | *Respond to screen ASAP to get EMS report | ||
*Release ALS personnel (BLS may have to stay until patient in room) | *Release ALS personnel (BLS may have to stay until patient in room) | ||
*If on wall and appears stable for triage/WR, discuss with attending | *If on wall and appears '''stable for triage/WR''', discuss with attending | ||
*If attending agrees use .edambutriage note but do NOT click the "MSE" | **If attending agrees use '''.edambutriage''' note but do NOT click the "MSE" | ||
* | **Write "Triage" in the RN Comments column | ||
*Write "Triage" in the RN Comments column | **These patients will then go to team triage | ||
*These patients will then go to team triage | * '''If the patient needs to stay in the ED, do a brief MSE note''' | ||
===MICN=== | ===MICN=== | ||
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==See Also== | ==See Also== | ||
*[[Harbor: | *[[Harbor:Main]] | ||
==References== | ==References== |
Revision as of 19:15, 4 June 2019
ALS & BLS Direct to triage (2/5/18)
- ALS or BLS patients with the following:
- Stable Vital Signs
- T 36-38C
- HR 60-100
- SBP 100-210, DBP 60-120
- RR 12-20
- Ambulatory
- Cleared by Charge RN
- If your patient meets all 3 criteria, take them directly to the physician in triage (or NP if physician is unavailable)
- Stable Vital Signs
- Charge RN must:
- Quick-register the patient AND
- Use the Pre-Hospital template to enter:
- VS
- EMS unit
- Brief statement about patient being stable and ambulatory to triage
Patients not meeting "Direct to Triage" criteria
AED Charge
- Quick-register patient
- If clearly needs to stay AED
- Room Available
- Place in room
- Assign purple/green based on room
- No room available - Assign by alternating purple/green
- Room Available
- Notify Senior Resident via Spectra - "EMS is waiting"
- Hold EMS until physician arrives (30 min max)
- If no room, after screened by senior resident:
- If assigned "AED" by screening MD, place in next available room (stays with same team regardless of room)
- If assigned "Triage" by screening MD, to triage for physician/NP in triage to perform MSE
- If clearly needs to stay AED
Senior Resident
- If you notice EMS patient has been waiting > 30 min for team assignment - call Charge RN
- Respond to screen ASAP to get EMS report
- Release ALS personnel (BLS may have to stay until patient in room)
- If on wall and appears stable for triage/WR, discuss with attending
- If attending agrees use .edambutriage note but do NOT click the "MSE"
- Write "Triage" in the RN Comments column
- These patients will then go to team triage
- If the patient needs to stay in the ED, do a brief MSE note
MICN
- ALS Arrivals ONLY
- Download and print 2 copies of ePCR (aka EMS Report Form)
- Place stickers on them
- Leave 1st copy with patient’s RN
- Give 2nd copy to clerk
ED ATTENDING
- If you notice EMS patient has been waiting > 30 min for team assignment - call Charge RN
See Also
References
Chappell 1/31/18 rev Peterson 1/2019