AHA recommends to-do list
The American Hospital Association in Chicago has recommended that hospitals examine the following four issues when evaluating existing emergency department (ED) procedures:
o Review current policies.
Make sure your committee knows the hospital's ED policy on sending staff outside the ED and off hospital premises to deliver care. Review the policy to determine if it allows flexibility for staff to use their best judgment. Remember that federal regulations require hospitals to screen all patients on hospital property who request care to determine whether they have an emergency medical condition. Those who do must be stabilized or appropriately transferred. These requirements apply to all settings on the hospital campus - including ambulatory surgery areas and physicians' offices - not just the ED.
o Educate staff about the policy.
Determine when the last training session was for ED staff and consider a "refresher" course for them. It is especially important to train and educate any contract workers your facility may employ in key areas. Make sure your communications, security, and any other appropriate departments are aware of the policy.
o Reassure the community.
The incident in Chicago no doubt has raised quality and public perception issues. Consider touching base with local community leaders and the media to reassure them about your policies, procedures, and commitment to patients.
o Contact community emergency response.
Regardless of your current policy, this is a good time to reconnect with your community emergency response agencies, such as rescue squads and police and fire departments. Ensuring each entity coordinates and understands the other's responsibilities helps avoid misunderstanding if such incidents arise.
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