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Archive for the ‘Fast Track’ Category

Updates on intake, east zone, fast track criteria

Median time to doc is up to 51 minutes, from 42.— we need to be 30 minutes!
LWBT is up—from 2.5% to 4.8%
Some of this is due to Epic, some due to flow issues…. Below is what we are going to do to address some of the problems.

1. Intake: nursing has committed to staffing intake mon-Friday 11a-11p with 3 nurses. This is a priority assignment and it will be filled
2. Intake: if you notice several ambulances at intake— let them know that one member of a crew can go to the intake, and one to the ambulance bay to arrive a pt in epic.
3. East: on July 18th we will be changing how the east zone is used: no admitted pts will go to East—it will be used for Observation pts, Gyn and Ortho care. “OGO” It will also be used for “after intake care”.
4. Fast track—below are the new FAST TRACK GUIDLINES– nursing is in the process of educating all RN’s on the new guidelines—go live date will be July 18th.

Thanks for you input and support

Kevin, Suzanne, Dwayne and Francine


-If brought by ambulance, must be able to get off of the stretcher and in to a wheelchair
-Only 2 asthmatics at one time, others must go to main ED
-Goal is to see and dispo pt in under 20 minutes

(VS: sat ,95%, HR<110, RR <22, BP < 160/100) -uri -minor laceration (less than 6cm) -abscess (not rectal or perirectal) -cough, -uti -uncomplicated ortho <65 y.o, no, IV meds or admission -digit dislocation, not requiring sedation -eye complaint -BBFE -cellulitis in otherwise healthy adult with normal VS -wound check/suture removal -rash -allergic reaction, skin involvement only (no respiratory symptoms) NO -obvious ortho deformity -if needs US or CT -if needs labs (other than POC, rapid HIV, repeat hcg quant) -ortho >65 y.o.
-fall >65
-code 11
-needs isolation
-OB/GYN complaint
-testicular pain
-active epistaxis
-dislocation that will likely require sedation (hip, shoulder, elbow)

Any patient that requires more care than is appropriate for the fast track area will be immediately relocated to the main ED treatment area and the ED physician and charge nurse will be notified

Kevin M. Baumlin

Written by reuben

July 6th, 2011 at 10:24 pm