5/7/2023 0 Comments Emergency 20 efficiencyInstead of walking across the ER to see the next patient on the list it’s ok to see the patient who is 2nd in line andt right in front of you. When working at night, see a few patients in the same area at once. Plus it frees up a bed to keep the department flowing. Shortening your list will decrease your cognitive load and allow you to keep moving fast. When a disposition can be made, do it now, do not delay. This will help your orders get done in a timely fashion and keeps everyone on the same page. Entering orders into the EMR is not enough. Order a road test and PO trial before you come to talk to the patient about their disposition.Ĭommunicate the plan to nursing.Decrease touch points and see another patient. “I will see you again after your labs are back unless your D-Dimer is positive and then I will see you after a CT scan.” There is no need to pop by and tell them they have a positive D Dimer. If you are planning to order a Dimer, then tell your patient up front.Ordering in sequence rarely adds value and delays dispositions.ĭon’t go into a patient’s room more times than you have to. Order them both at the start or not at all. “If the trop is normal then I will order a Dimer” Don’t do that. Whenever feasible order tests concurrently, not in sequence. The outcome of a test then don’t order that test. If your treatment and disposition will be the same regardless of Information you need and how you can get it. When faced with tough calls, sit down and take the time you need to make a decision or figure out what other
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