Alternate ER page - Revision history

JenniferH: Redirected page to Category:Emergency Room

2020-11-20T11:20:01Z

Redirected page to Category:Emergency Room

← Older revision		Revision as of 11:20, 20 November 2020
Line 1:		Line 1:
			#REDIRECT [[:Category:Emergency Room]]

	==Overview==		==Overview==
	This department is open 24 hours a day/7 days a week and is responsible for the management of all emergent and urgent patients in our region. The primary ER doc serves as medical control for all medevacs in and out of our region. The Emergency Department is designated a Level IV Trauma Center.		This department is open 24 hours a day/7 days a week and is responsible for the management of all emergent and urgent patients in our region. The primary ER doc serves as medical control for all medevacs in and out of our region. The Emergency Department is designated a Level IV Trauma Center.

JenniferH at 07:26, 24 September 2020

2020-09-24T07:26:12Z

Show changes

JenniferH: /* RMT (Radio Medical Traffic) */

2020-09-24T07:15:17Z

RMT (Radio Medical Traffic)

← Older revision		Revision as of 07:15, 24 September 2020
Line 21:		Line 21:
	*[[Specialty Referrals#Referrals from the ER\|Referrals from the ER]]		*[[Specialty Referrals#Referrals from the ER\|Referrals from the ER]]
	*[[Emergency Provider RMT\|RMT for the Emergency Provider]]		*[[Emergency Provider RMT\|RMT for the Emergency Provider]]

	~~==RMT (Radio Medical Traffic)==~~
	~~#There are 2 types of RMT: emergency/urgent and routine.~~
	#Emergency/Urgent are cases where the CHA sends in an RMT document to the message center proxy called NW emergency/urgent RMT. The CHA then calls the on-call inpatient doc for that village and they talk about the patient and what to do for the patient. These calls can sometimes end up in a medevac, sometimes the patient is sent to the ED via commercial flight and sometimes the patient is treated and sent home.
	~~#Routine RMT is handled by ambulatory providers and the CHA sends in a document and the provider responds is electronically.~~
	#Sometimes the CHA will call the ED and ask to talk to the ED doc, usually because they are doing CPR on a patient and haven’t had time to start any documentation. See above about activating medevac for CPR in progress (generally don’t.) You will be expected to talk the CHA through the case. These are highly stressful situations for the CHA – remember this is certainly someone they know and often a relative. There is often chaos in the background and it can be hard to hear the CHA or determine what is going on. Please be very patient at these times. The CHA will want you to make the determination when to stop resuscitative efforts. Generally speaking, we don’t have them do CPR for more than an hour. So at about the 45 minute mark, ask them to start thinking about stopping CPR. Sometimes they don’t want to and we let them keep doing CPR longer. This is especially true if it is a baby or a child. If it is a child, get the pediatrician on the phone if you think that will help. Link to [[:category:Radio Medical Traffic (RMT)#Emergency RMT\|code resuscitation section of Emergency RMT]].
	#If you get other calls from CHAs regarding other emergencies (strokes, seizures, village deliveries, etc) re-direct CHAs to the NW doc on call for that village. Peds on call can also be contacted for any pediatric patient.

JenniferH: /* ER SPECIFIC INFORMATION */

2020-09-24T07:14:58Z

ER SPECIFIC INFORMATION

← Older revision		Revision as of 07:14, 24 September 2020
Line 20:		Line 20:
	*[[:Category:Medevacs and Transport#Medevacs for the ER Provider\| Medevacs for the ER Provider]]		*[[:Category:Medevacs and Transport#Medevacs for the ER Provider\| Medevacs for the ER Provider]]
	*[[Specialty Referrals#Referrals from the ER\|Referrals from the ER]]		*[[Specialty Referrals#Referrals from the ER\|Referrals from the ER]]
			*[[Emergency Provider RMT\|RMT for the Emergency Provider]]

	==RMT (Radio Medical Traffic)==		==RMT (Radio Medical Traffic)==

JenniferH: /* ER SPECIFIC INFORMATION */

2020-09-24T06:46:11Z

ER SPECIFIC INFORMATION

← Older revision		Revision as of 06:46, 24 September 2020
Line 13:		Line 13:
	*[[ER Documentation and Depart]]		*[[ER Documentation and Depart]]
	==ER SPECIFIC INFORMATION==		==ER SPECIFIC INFORMATION==
	~~===~~[[Common ER Encounters]]~~===~~		*[[Common ER Encounters]]
	*[[Common ED Procedures]]		*[[Common ED Procedures]]
	*[[Special ED Situations/Protocols]]		*[[Special ED Situations/Protocols]]

JenniferH: /* Referrals */

2020-09-24T06:45:31Z

Referrals

← Older revision		Revision as of 06:45, 24 September 2020
Line 20:		Line 20:
	*[[:Category:Medevacs and Transport#Medevacs for the ER Provider\| Medevacs for the ER Provider]]		*[[:Category:Medevacs and Transport#Medevacs for the ER Provider\| Medevacs for the ER Provider]]
	*[[Specialty Referrals#Referrals from the ER\|Referrals from the ER]]		*[[Specialty Referrals#Referrals from the ER\|Referrals from the ER]]

	~~==Referrals==~~
	~~#Occasionally you will need to place a referral on a patient that you see in the ED. For example, a non-emergency hernia repair will need an order placed in the chart for the referral to surg.~~
	#Type in the search order window the word “refer” and hit enter or the binoculars. The list of services that you can refer to come up and you will need to choose the correct service and complete the order (yellow parts are required.)
	~~#Once you sign the order, it goes to a queue for the case managers to review and forward the appropriate documentation.~~

	==RMT (Radio Medical Traffic)==		==RMT (Radio Medical Traffic)==

JenniferH: /* ER SPECIFIC INFORMATION */

2020-09-24T06:45:07Z

ER SPECIFIC INFORMATION

← Older revision		Revision as of 06:45, 24 September 2020
Line 13:		Line 13:
	*[[ER Documentation and Depart]]		*[[ER Documentation and Depart]]
	==ER SPECIFIC INFORMATION==		==ER SPECIFIC INFORMATION==
	*[[Common ER Encounters]]		===[[Common ER Encounters]]===
	*[[Common ED Procedures]]		*[[Common ED Procedures]]
	*[[Special ED Situations/Protocols]]		*[[Special ED Situations/Protocols]]
Line 19:		Line 19:
	*[[Transfers to/from the ER]]		*[[Transfers to/from the ER]]
	*[[:Category:Medevacs and Transport#Medevacs for the ER Provider\| Medevacs for the ER Provider]]		*[[:Category:Medevacs and Transport#Medevacs for the ER Provider\| Medevacs for the ER Provider]]
			*[[Specialty Referrals#Referrals from the ER\|Referrals from the ER]]

	==Referrals==		==Referrals==

JenniferH at 12:24, 23 September 2020

2020-09-23T12:24:23Z

← Older revision		Revision as of 12:24, 23 September 2020
Line 24:		Line 24:
	#Type in the search order window the word “refer” and hit enter or the binoculars. The list of services that you can refer to come up and you will need to choose the correct service and complete the order (yellow parts are required.)		#Type in the search order window the word “refer” and hit enter or the binoculars. The list of services that you can refer to come up and you will need to choose the correct service and complete the order (yellow parts are required.)
	#Once you sign the order, it goes to a queue for the case managers to review and forward the appropriate documentation.		#Once you sign the order, it goes to a queue for the case managers to review and forward the appropriate documentation.

			==RMT (Radio Medical Traffic)==
			#There are 2 types of RMT: emergency/urgent and routine.
			#Emergency/Urgent are cases where the CHA sends in an RMT document to the message center proxy called NW emergency/urgent RMT. The CHA then calls the on-call inpatient doc for that village and they talk about the patient and what to do for the patient. These calls can sometimes end up in a medevac, sometimes the patient is sent to the ED via commercial flight and sometimes the patient is treated and sent home.
			#Routine RMT is handled by ambulatory providers and the CHA sends in a document and the provider responds is electronically.
			#Sometimes the CHA will call the ED and ask to talk to the ED doc, usually because they are doing CPR on a patient and haven’t had time to start any documentation. See above about activating medevac for CPR in progress (generally don’t.) You will be expected to talk the CHA through the case. These are highly stressful situations for the CHA – remember this is certainly someone they know and often a relative. There is often chaos in the background and it can be hard to hear the CHA or determine what is going on. Please be very patient at these times. The CHA will want you to make the determination when to stop resuscitative efforts. Generally speaking, we don’t have them do CPR for more than an hour. So at about the 45 minute mark, ask them to start thinking about stopping CPR. Sometimes they don’t want to and we let them keep doing CPR longer. This is especially true if it is a baby or a child. If it is a child, get the pediatrician on the phone if you think that will help. Link to [[:category:Radio Medical Traffic (RMT)#Emergency RMT\|code resuscitation section of Emergency RMT]].
			#If you get other calls from CHAs regarding other emergencies (strokes, seizures, village deliveries, etc) re-direct CHAs to the NW doc on call for that village. Peds on call can also be contacted for any pediatric patient.

JenniferH at 12:23, 23 September 2020

2020-09-23T12:23:38Z

← Older revision		Revision as of 12:23, 23 September 2020
Line 19:		Line 19:
	*[[Transfers to/from the ER]]		*[[Transfers to/from the ER]]
	*[[:Category:Medevacs and Transport#Medevacs for the ER Provider\| Medevacs for the ER Provider]]		*[[:Category:Medevacs and Transport#Medevacs for the ER Provider\| Medevacs for the ER Provider]]

			==Referrals==
			#Occasionally you will need to place a referral on a patient that you see in the ED. For example, a non-emergency hernia repair will need an order placed in the chart for the referral to surg.
			#Type in the search order window the word “refer” and hit enter or the binoculars. The list of services that you can refer to come up and you will need to choose the correct service and complete the order (yellow parts are required.)
			#Once you sign the order, it goes to a queue for the case managers to review and forward the appropriate documentation.

JenniferH at 12:21, 23 September 2020

2020-09-23T12:21:57Z

← Older revision		Revision as of 12:21, 23 September 2020
Line 1:		Line 1:
			'''Overview'''

			This department is open 24 hours a day/7 days a week and is responsible for the management of all emergent and urgent patients in our region. The primary ER doc serves as medical control for all medevacs in and out of our region. The Emergency Department is designated a Level IV Trauma Center.

			'''Unit Description (facility)'''

			The Emergency Department contains 9 beds and 2 trauma bays. We have approximately 25,000 patient encounters per year, about 50 percent of them are for pediatric patients. The coverage of the ED is physicians 8 a.m.– 8 p.m. and 8 p.m.– 8 a.m., a second provider 10 a.m.– 10 p.m. (sometimes this is a pediatrician), and a PA/NP from noon to midnight.

	==GENERAL INFORMATION==		==GENERAL INFORMATION==
	*[[ER Overview]]		*[[ER Overview]]