Pediatric emergency medicine trisk 0137 0137
Bạn đang xem bản rút gọn của tài liệu. Xem và tải ngay bản đầy đủ của tài liệu tại đây (70.51 KB, 1 trang )
other processes suggested to expedite care in the ED include quick triage and
registration and use of a fast-track area. Additionally, concepts including pivot
roles, split flow, immediate bedding, and provider in triage have been
implemented by some departments to help augment flow and ensure the
appropriate resource and location for patients.
Pivot Roles
Implementation of a pivot process allows for rapid assessment of patient
identifiers, chief complaint and vital signs at the point of first patient contact by a
nurse or a nurse-led team. This aids in identifying appropriate immediate patient
needs and/or care areas. Pivot process can then be combined with other front-end
flow methodologies to optimize throughput.
Split Flow
Designed to reduce wait times through immediate patient assessment, split flow
expedites the care of the sickest patients while facilitating the flow of nonurgent
patients who present to the ED. Patients are evaluated by a triage nurse during the
initial registration process to determine their specific needs. They are then
directed to an appropriate care location based upon their acuity and potential
resource needs. This accelerates treatment and admission for acute patients, and
decreases the LOS for those with nonurgent complaints. A shortened triage
process can also be coupled with the split-flow concept to decrease intake times
for less acute patients as well.
Immediate Bedding
Historically, the triage intake process occurs in a designated triage area, prior to
patient bedding. To decrease time to provider, and improve the customer
experience, the concept of immediate bedding has been applied in some EDs.
Once a patient presents to the ED and completes their initial registration and
screening process, a triage nurse directs them to their appropriate care area if a
bed is available. In bypassing formal triage, unnecessary patient movement is
decreased, and the provider and primary nurse are able to assess the patient at the
bedside. The required elements of triage are then completed at the bedside, and
appropriate care interventions initiated. Should no bed be available, normal triage
processes in the waiting area would be followed.
Provider in Triage
Placement of a front-line provider in the triage intake area can help to expedite
patient care and decrease LOS. Such providers can initiate care protocols and
