Comments on: How can you make an ED more chaotic? http://gruntdoc.com/2005/10/how-can-you-make-an-ed-more-chaotic.html Ramblings of an Emergency Physician in Texas Fri, 10 Feb 2012 00:40:33 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: GruntDoc http://gruntdoc.com/2005/10/how-can-you-make-an-ed-more-chaotic.html/comment-page-1#comment-2780 GruntDoc Tue, 25 Oct 2005 19:08:52 +0000 http://gruntdoc.com/2005/10/how-can-you-make-an-ed-more-chaotic.html#comment-2780 <strong>Survivor: ER!</strong> I wrote a week or so ago that we're remodeling a big chunk of our ED, and the controlled chaos resulting. The hospital and the docs agreed we should keep caring for the same number of patients (which is code... Survivor: ER!

I wrote a week or so ago that we’re remodeling a big chunk of our ED, and the controlled chaos resulting. The hospital and the docs agreed we should keep caring for the same number of patients (which is code…

]]> By: hypnoid http://gruntdoc.com/2005/10/how-can-you-make-an-ed-more-chaotic.html/comment-page-1#comment-2779 hypnoid Wed, 19 Oct 2005 22:25:38 +0000 http://gruntdoc.com/2005/10/how-can-you-make-an-ed-more-chaotic.html#comment-2779 When an ER in which I worked was being replaced, they moved us into the new ICU they'd just built (the ICU proper could stay in their old unit awhile longer). It worked okay...except ICUs aren't generally located near large waiting rooms. Our triage station consisted of a desk and folding chair about 100' down a hallway from the ER, leaving the triage nurse, some paramedics and some security guards to manage the waiting room out of sight of the rest of the team. As I understand, being triage nurse is usually isolating and stressful as is. A typical shift for us would be: go to work, see ten patients or so, run outside and bring the triage nurse a coffee and an ancouraging word, go back inside, see eight more patients, run outside and give the triage nurse an ativan, go back in, try to find a new triage nurse "just for even half an hour," see two more patients, go back outside and give the triage nurse an antipsychotic. When an ER in which I worked was being replaced, they moved us into the new ICU they’d just built (the ICU proper could stay in their old unit awhile longer). It worked okay…except ICUs aren’t generally located near large waiting rooms. Our triage station consisted of a desk and folding chair about 100′ down a hallway from the ER, leaving the triage nurse, some paramedics and some security guards to manage the waiting room out of sight of the rest of the team. As I understand, being triage nurse is usually isolating and stressful as is. A typical shift for us would be: go to work, see ten patients or so, run outside and bring the triage nurse a coffee and an ancouraging word, go back inside, see eight more patients, run outside and give the triage nurse an ativan, go back in, try to find a new triage nurse “just for even half an hour,” see two more patients, go back outside and give the triage nurse an antipsychotic.

]]> By: ibear http://gruntdoc.com/2005/10/how-can-you-make-an-ed-more-chaotic.html/comment-page-1#comment-2778 ibear Wed, 19 Oct 2005 22:08:45 +0000 http://gruntdoc.com/2005/10/how-can-you-make-an-ed-more-chaotic.html#comment-2778 Our ER is sorely in need of an update. The administration keeps saying, we're next, but then they go ahead and re-do the surgery suites or the ICU. But, supposedly we're next again :) Our ER is sorely in need of an update. The administration keeps saying, we’re next, but then they go ahead and re-do the surgery suites or the ICU. But, supposedly we’re next again :)

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