assessed in a time sensitive manner. Many of the potential life threatening emergencies require interventions immediately and cannot be postponed for a drive to the hospital. There is a myriad of different matters to address when considering the prehospital cardiac assessment of a preschool-aged child; two of the most vital lifesaving procedures require assessment of skin color and assessment of the heart rate. The first and probably most significant thing to notice about the preschooler is the pigmentation
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The case Walk-in Clinic preparation sheet As Kathryn Angel‚ how do you evaluate the introduction of the triage nurses into the process of the Walk-in Clinic ? The triage system certainly proved its value for the Walk-in Clinic. Although the average total waiting time increased after the introduction of the triage nurses‚ customer’s perception of the waiting time was improved. One of Maister’s laws states that a pre-process wait feels longer than an in-process wait‚ meaning that customers who
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My Pico question: P: Women between 18-69 years presenting for cervical cytology screening. I: HPV DNA testing C: Cytology Screening O: Sensitivity for detecting cervical precancerous lesions. Article 1: Int J Cancer. 2014 Jul 1;135(1):166-77. doi: 10.1002/ijc.28640. Epub 2014 Jan 24. Is HPV DNA testing specificity comparable to that of cytological testing in primary cervical cancer screening? Results of a meta-analysis of randomized controlled trials. Pileggi C1‚ Flotta D‚ Bianco A‚ Nobile CG
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The Emergency Room The emergency department team consists of many trained professionals each with a specific job in treating the patient. Emergency room personnel usually consists of administrative registration clerks‚ a triage nurse‚ primary nurses‚ a charge nurse‚ the attending physician or emergency nurse practitiner‚ and nursing assistants. Also‚ in certain hospitals the trauma team (surgeons‚ anesthesiologists‚ and specialized physicians) may be on standby to aid in an emergency situation
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USING COMPUTER SIMULATION MODELING TO REDUCE WAITING TIMES IN EMERGENCY DEPARTMENTS Igor Georgievskiy‚ Alcorn State University Zhanna Georgievskaya‚ Alcorn State University William Pinney‚ Alcorn State University ABSTRACT This paper examines the wide-spread problem of extended waiting times for health services‚ in the context of the Emergency Department (ED) at a regional hospital. In the first phase of the study‚ a field observation was conducted to document the current operation of the ED. The
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Do observations of vital signs really indicate how sick a child is? - Would this be an effective triage tool? Introduction This assignment will look at papers that are relevant to the research question posed; it will consider their validity‚ scope of relevance and whether further research may be needed either to answer the question or to clarify aspects of research already completed. Traditionally emphasis is placed on vital sign recording to indicate the severity of an illness‚ and with the
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REDUCING PATIENT THROUGHPUT TIME IN EMERGENCY DEPARTMENTS BY RESOLVING BOTTLENECKS Dr. NAMITA MUKHI drnamitamukhi@gmail.com PGDHM student INSTITUTE OF HEALTH MANAGEMENT RESEARCH JAIPUR Reducing patient throughput time in emergency department by resolving bottlenecks Abstract Background : With increasing number of accidents and disease spectrum in today’s time ‚ emergency departments are frequently witnessing more
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to better educate staff on emergency topics. a. Lunch and learns‚ outside local CE b. Staff meeting 5 minute emergencies. V. Prepare a triage flow sheet for all staff to help them prioritize patient care. Post them at crucial spots: reception desk‚ give to new employees for direction. Encourage staff to be familiar with triage protocol. VI. Practice scenarios for emergencies you have seen or anticipate encountering. a. Response drills b. Acting scenarios for practice
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multiple patients are coming in there must be a way to sort through all the ciaos. A triage nurse determines which patient is most important and gets the sent back to a room to begin treatment. While in triage‚ each patient has vital signs checked. If indicated‚ they will also have an EKG. In triage at Jackson General ED‚ the nurse uses a checklist to organize patients‚ which determines who is priority. The triage algorithm Jackson General ED uses is “ESI”. This chart gives five levels of priority
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environment. By identifying safety risks associated with the assignment of inexperienced nurses to triage and discussing the breakdown in communication between physicians and staff‚ caused by inaccurate triage acuity levels‚ I effectively facilitated the change in the process of assignments to triage. Once the need of education‚ mentoring and nursing collaboration to support inexperienced triage nurses in role transition was acknowledged significant positive changes were experienced in staff communication
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